title: Alternative Therapeutic Approach in the Treatment of Oral Pyogenic Granuloma.
abstract: Pyogenic granulomas (PGs) in the oral cavity present as an inflammatory hyperplasia usually caused by trauma, hormonal imbalance, chronic irritation, or as the response to a wide variety of drugs. PGs with atypical presentation and behavior may clinically mimic malignant tumors. Thus, histological examination is required to rule out cancer development. Lesions in the oral cavity have been described to be either an isolated entity or present in multiple forms and with multiple recurrences. Conservative surgical excision is the standard choice of treatment in almost every scenario. However, the severity of the lesions and the affected sites often challenge surgical treatment. In this report, we describe the clinical scenario of a recurrent PG, where surgical excision of the lesion was questioned. As an alternative, we describe a noninvasive approach with lesional steroid injections.
authors.affiliation: Department of Oncology and Diagnostic Sciences, Dental School, University of Maryland, Baltimore, Md., USA.
authors.forename: Amr
authors.initials: A
authors.lastname: Bugshan
authors.affiliation: Department of Oncology and Diagnostic Sciences, Dental School, University of Maryland, Baltimore, Md., USA.
authors.forename: Harsh
authors.initials: H
authors.lastname: Patel
authors.affiliation: Department of Oncology and Diagnostic Sciences, Dental School, University of Maryland, Baltimore, Md., USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Garber
authors.affiliation: Department of Oncology and Diagnostic Sciences, Dental School, University of Maryland, Baltimore, Md., USA.
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Meiller
keywords: Gingiva; Oral cavity; Pyogenic granuloma; Steroids; Swelling