Oral Pyogenic Granuloma Workup
- Author: John A Svirsky, DDS, MEd; Chief Editor: William D James, MD more...
Obtain a periapical radiograph of the associated teeth in lesions that involve the teeth. Radiography findings are negative if the lesion is a pyogenic granuloma. If calcifications are present, then the lesion probably is a peripheral ossifying fibroma, which is clinically identical to the pyogenic granuloma and requires the same treatment of removal with scaling of the adjacent teeth.
Histologic examination reveals sectioned soft tissue consisting of a lesion composed of ulcerated mucosa covering a core of cellular fibrous connective tissue admixed with proliferating vascular channels and a mixed inflammatory infiltrate. This lesion is a reactive/inflammatory process.
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