Recurrent Pyogenic Granuloma – A Clinical Evaluation

The pyogenic granuloma is a localized tumour like overgrowth in the oral cavity caused by reaction to mild irritation. It is considered to be non-neoplastic in nature. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually haemorrhagic. Treatment of pyogenic granuloma consists of conservative surgical excision which is usually curative. There is a relatively high rate of recurrence (about 15%) after simple excision. This case report describes a recurrent intraoral pyogenic granuloma which was successfully treated with surgical excision and scaling teeth without any significant complications.