J Interdiscip Dentistry
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Year : 2019  |  Volume : 9  |  Issue : 1  |  Page : 39-43

A rare case report of pyogenic granuloma associated with external root resorption

Department of Periodontics and Oral Implantology, S.D.M College of Dental Sciences and Hospital, Dharwad, Karnataka, India

Correspondence Address:
S S Suprith
Department of Periodontics and Oral Implantology, S.D.M College of Dental Sciences and Hospital, Sattur, Dharwad - 580 009, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jid.jid_47_17

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This is a rare case in which external root resorption was associated with localized gingival enlargement (pyogenic granuloma) in the upper right central incisor in a 49-year-old male clinically presenting with recession and mobility in other areas. The enlargement was pedunculated measuring 1.5 cm × 2 cm reddish pink in color, soft to fibrotic in consistency, and clinically diagnosed as pyogenic granuloma with chronic generalized periodontitis and endodontic lesion. Nonsurgical periodontal therapy was performed, enlargement was excised, and histopathological report was consistent with clinical report. Since it was associated with the cervical root resorption, the patient had to immediately undergo root canal treatment. The patient was observed for 4 months. The patient did not have any complaints, and the lesion was healed satisfactorily. For the esthetic purpose, gingival veneering was planned in the anterior region as there were root resorption and discoloration. After complete treatment, the gingiva is normal and healthy, and there was no sign of recurrence of the enlargement. The patient's periodontal condition is now routinely evaluated.

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