Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/rou.2014.024
Revista de Odontologia da UNESP
Clinical Report

Gravidarum granuloma associated to an osseointegrated implant: case report

Granuloma gravídico associado a implante osseointegrado: relato de caso

Trento, Cleverson Luciano; Veltrini, Vanessa Cristina; Santos, Rivelino Nimio M. dos; Santos, Vanessa Tavares G.

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Abstract

Introduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non‑neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.

Keywords

Oral surgery; lipoma; oral pathology.

Resumo

Introduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non‑neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.

Palavras-chave

Granuloma, pyogenic, pregnant women, dental implants

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