Localised Gingival Hyperplasia in 8th Month of Pregnancy

Case of The Day - 20 Yr Old Female Came to clinic with complaint of Bleeding while brushing and Eating with pain during eating on right side , She is In 8th Month of her 1st pregnancy , Intraoral examination revealed a approx 1 cm × 1.5cm size Gingival hyperplastic lesion irt 17 and 18 , with no caries ,No cavity no TOP in any tooth and also her oral hygien is excellent , This lesion bleeds on probing and tender on mild pressure , Due to pregnancy i did not taken X Ray , how you people will Approach this case, lets discuss this



It is progesterone induced granuloma gums Probably subside after delivery but inf can tt by oral mertronixol Amoxyclc Ora lhygien Wait till.delovary if persist surgical removal And hp exam

Pyogenic granulomas can occur at any age, but they are seen most frequently in children and young adults. They develop more often in women than in men, which often is attributed to the effect of female hormones. It is well known that the prevalence is higher in women during pregnancy—so much so that such lesions have been called pregnancy tumors or granuloma gravidarum. Following pregnancy, these lesions may shrink and undergo fibrous maturation to resemble a fibroma. Pyogenic granulomas usually are treated by complete surgical excision. For examples associated with pregnancy, removal sometimes is deferred until after childbirth unless the lesion is causing significant functional or cosmetic problems. For pyogenic granulomas of the gingiva, the excision should extend down to the periosteum, and the adjacent teeth should be scaled to remove any underlying source of irritation, such as dental calculus. The reported recurrence rate ranges from 3% to 15%, with a higher risk of recurrence for lesions removed during pregnancy. It is important to submit the excised tissue for microscopic examination because both primary and metastatic malignancies can mimic pyogenic granulomas.

Pyogenic granuloma

It is pregnancy related hyperplasia of gingival tissue and sometimes associated with local factors e.g. plaque and calculus at that very site due to pseudo pocket formation due to hyper plastic tissue.No surgical interference at this stage,because it will recur.Spontaneous regression will effect after termination of pregnancy.If residual amount persists surgery is required.At this stage local factors,if any,should be removed very meticulously because it invites much bleeding because of it's high component of fragile endothelial tissue and that may transform into more fibrous type after termination of pregnancy.Oral hygiene should be maintained properly.No medication is required at this stage.

Gingival hyperplasia

good case

Pregnancy induced gingival hyperplasia

Pregnancy induced gingival hyperplasia

Management metronidazole Dg gel Chlorohexidine gargle

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