Oral Pyogenic Granuloma Workup

Updated: Mar 29, 2018
  • Author: John A Svirsky, DDS, MEd; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Workup

Imaging Studies

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.

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Histologic Findings

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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