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Posthaste Outgrow of Lip Pyogenic Granuloma after Diode Laser Removal

Mohammad Asnaashari, Jamile Bigom -Taheri, Maesoome Mehdipoor, Mahin Bakhshi, Saranaz Azari-Marhabi




Introduction: Pyogenic granuloma (PG) is one of the inflammatory hyperplasia seen in the oral cavity. It is a reactional response to minor trauma or chronic irritation and also might be related to hormonal changes. Rarely, PG occurs extragingivally.The most common treatment of PG is surgical excision but alternative approaches such as laser excision have also been proposed.

Case report: Herein, we present a case of lip pyogenic granuloma in a 15-year-old male whom had been under orthodontic treatment. The lesion was first excised with diode laser as a conservative method, but the lesion had immediately recurred and was excised with surgical blade as the traditional method. No recurrence or scarring was observed in 6 months follow-up.

Results and conclusion: Although the use of laser as modern medicine offers a new tool for treatment of oral lesions, scalpel (blade) surgical excision still seems to be the successful treatment of choice in minimizing the recurrence of lesion especially when exacerbating factors such as hormonal imbalances exist.


pyogenic granuloma; hyperplasia; diode laser; recurrence


Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma:a review. J Oral Sci 2006; 48(4): 167-75.

Neville BW, Damm DD, Allen CM, Bouqout JE ,Oral and Maxillofacial Pathology.3rd edition Philadelphia Saunders 2009, p448.

Regezi JA, Sciubba J, Jordan RCK. Oral & Maxillofacial Pathology: Clinical-Pathologic Correlations. 5th edition, Philadelphia, Pa, USA: WB Saunders 2008, 115-6.

Amirchaghmaghi M, Falaki F, Mohtasham N, Mozafari P. Extragingival pyogenic granuloma: a case report. Cases J 2008; 1:371-3.

Rai S, Kaur M, Bhatnagar P. Laser: a powerful tool for treatment of pyogenic granuloma. J Cutan Aesthet Surg 2011; 4(2):144–7

Tuner J, Hode L. The Laser Therapy Handbook, 1st edition, Sweden, Prima Books 2004, 235-50.

MacLeod RL, Soames J. Epilides: A clinicopathological study of 200 consecutive lesions. Br Dent J 1987; 163:51–3.

Al Shahrani I, Eid H, Kota Z, Alghamdi AB.Uncommon Pyogenic granuloma of the lower lip of Orthodontic Patient. Int J Dent Case Reports 2013; 3(1): 3-7.

Davies MG, Borton SP, Atai F.The abnormal dermis in pyogenic granuloma. J Am Acad Dermatol 2001; 31:342–4.

Vilmann A, Vilmann P, Vilmann H. Pyogenic granuloma: evaluation of oral conditions. Br J Oral Maxillofac Surg 1986; 24(5):376-82.

Pushpendra K, Ruchi S, Baranwal HC, Chaturvedi TP. Pyogenic Granuloma: Hyperplastic Lesion of the Gingiva: Case Reports. Open Dent J 2012; 6:153-6.

Amid R, Kadkhodazadeh M, Talebi MR, Hemmatzadeh S, Refoua S, Iranparvar P, Shahi A. Using Diode Laser for Soft Tissue Incision of Oral Cavity: J Lasers Med Sci 2012; 3(1):36-43.

Kreisler M, Christoffers AB, Willerstausen B, d’Hoedt B. Effect of low-level GaAlAs Laser irradiation on the proliferation rate of human periodontal ligament fibroblasts: an In vitro study. J Clin Periodontal 2003; 30: 353–8.

DOI: https://doi.org/10.22037/jlms.v5i2.5556