Management of pyogenic granuloma in pregnancy with diode laser

a case report

| Posted in: Health Sciences Science Journals

Journal name: World Journal of Pharmaceutical Research
Original article title: Management of pyogenic granuloma in pregnancy with diode laser
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a case report

Original source:

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Author:

Roy T. R., Gupta S. and Tripathi A. K.


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World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of pyogenic granuloma in pregnancy with diode laser

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20204-17071

Copyright (license): WJPR: All rights reserved


Summary of article contents:

Introduction

Pyogenic granuloma (PG) is a non-neoplastic lesion commonly found in the oral cavity, often resulting from an intense tissue response to local irritation, trauma, and hormonal influences, particularly during pregnancy. The condition is characterized by a rapidly growing, vascular mass that frequently develops on the gingiva, though it can also appear on the lips, tongue, and buccal mucosa. This case report discusses the successful management of PG in a 24-year-old pregnant female using diode laser technology, highlighting its effectiveness and benefits in minimizing recurrence.

Surgical Treatment with Diode Laser

Diode laser surgery has emerged as a preferred method for treating pyogenic granuloma, offering several advantages over traditional excision techniques. This surgical approach ensures enhanced patient comfort, quick operation time, and a bloodless surgical field, significantly reducing post-operative complications such as bleeding and the need for sutures. In the presented case, the lesion was excised using a diode laser, showcasing its effectiveness in promoting healing while minimizing discomfort for the patient.

Pathophysiology and Hormonal Influence

The development of pyogenic granuloma is closely linked to hormonal changes, particularly during pregnancy, when increased levels of estrogen and progesterone can result in heightened vascularization and tissue response. The inflammatory hyperplastic nature of PG can lead to aesthetic and functional issues, impacting speech and mastication. The histological analysis post-surgery revealed features typical of PG, including hyperplastic epithelium and an infiltrate of inflammatory cells, emphasizing the lesion's association with chronic irritation and local factors.

Follow-Up and Recurrence Assessment

The follow-up period for the patient, lasting two months post-excision, indicated a complete healing of the surgical site with no signs of recurrence. The initial discomfort and bleeding associated with the lesion subsided, promoting improved oral hygiene practices for the patient. This outcome underscores the efficacy of diode laser treatment and the importance of thorough follow-up in evaluating the long-term success of lesion removal, especially in susceptible populations like pregnant women.

Conclusion

The use of diode laser for the removal of pyogenic granuloma represents a safe and effective technique that offers numerous advantages over traditional surgical methods. The case report reinforces that this approach is not only associated with reduced intraoperative complications but also promotes satisfactory healing outcomes. Considering these factors, diode laser excision should be advocated as a preferred treatment modality for managing pyogenic granuloma, particularly in pregnant patients where traditional approaches may pose increased risks.

FAQ section (important questions/answers):

What is pyogenic granuloma in pregnancy?

Pyogenic granuloma is a non-neoplastic oral lesion often caused by trauma, irritation, or hormonal factors. It's common during pregnancy due to elevated hormone levels leading to tissue changes.

How is pyogenic granuloma treated during pregnancy?

Treatment typically involves excision of the lesion. Diode laser surgery is preferred as it minimizes bleeding, reduces pain, and has a lower chance of recurrence compared to traditional methods.

What are the characteristics of pyogenic granuloma?

Pyogenic granuloma appears as a painless, lobulated mass that bleeds easily. It's typically found on the gingiva but can also occur in other oral areas, varying in size from a few millimeters to several centimeters.

What precautions are taken before surgery for pyogenic granuloma?

Before surgery, a thorough oral examination is conducted, with informed consent taken from the patient. Patients are also advised to improve their oral hygiene prior to the procedure.

What postoperative care is recommended after excision?

Postoperative care includes maintaining oral hygiene, using prescribed medications like antibiotics, and mouthwash. Regular follow-up appointments are necessary to monitor healing and check for any recurrence.

What are the benefits of using diode laser for surgery?

Diode laser surgery offers a bloodless field, faster procedure time, reduced pain, and lower recurrence rates. It's a safer and more comfortable option compared to traditional surgical methods.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Management of pyogenic granuloma in pregnancy with diode laser”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Hygiene (Hygienic):
Hygiene refers to practices that maintain health and prevent disease, especially through cleanliness. In dental health, maintaining good oral hygiene is crucial in preventing conditions like pyogenic granuloma, which can be exacerbated by poor oral care. Patients are often advised to improve their hygiene to avoid recurrence of lesions.

2) Irritation:
Irritation is a response of tissues to injury, inflammation, or harmful stimuli. In the context of pyogenic granuloma, persistent local irritation from factors like poor oral hygiene or trauma can lead to the development of this benign lesion in the oral cavity, emphasizing the importance of addressing irritants.

3) Pregnant:
Pregnant refers to the state of carrying a developing fetus within the female body. During pregnancy, hormonal changes can increase the risk of developing conditions like pyogenic granuloma, particularly in the gingival tissues, which necessitates careful management during this critical period to avoid complications.

4) Bleeding:
Bleeding in the context of pyogenic granuloma indicates the lesion's tendency to bleed easily upon touch or irritation. This characteristic can lead to discomfort and signifies underlying vascularity, which is heightened during pregnancy due to hormonal influences. Managing bleeding is a key aspect in treating such lesions.

5) Transformation (Transform, Transforming):
Transformation refers to a change in form, structure, or substance. In the case of pyogenic granuloma, while the lesion itself does not undergo malignant transformation, the term highlights the potential progression of benign lesions to more serious conditions if left untreated or improperly managed.

6) Inflammation:
Inflammation is the body's response to injury or infection, characterized by redness, swelling, pain, and heat. Pyogenic granulomas are inflammatory hyperplastic lesions, meaning they result from chronic inflammation due to ongoing irritation or trauma, emphasizing the importance of identifying and treating these underlying causes.

7) Surrounding:
Surrounding refers to the tissue area adjacent to a lesion. In the excision of pyogenic granuloma, it is critical to remove at least 2mm of surrounding healthy tissue to ensure complete removal and decrease the risk of recurrence, demonstrating the surgical precision required in treatment.

8) Discussion:
Discussion pertains to the examination and interpretation of data and experiences related to a topic. In medical case reports, like that of pyogenic granuloma, discussion sections analyze treatment methods, outcomes, and literature contexts, helping to draw conclusions that inform future clinical practices and guidelines.

9) Swelling:
Swelling refers to an increase in size or mass of a body part, often associated with inflammation. In cases of pyogenic granuloma, swelling can indicate an underlying issue resulting from irritation or trauma, making it a critical symptom for diagnosis and subsequent treatment planning.

10) Incision:
Incision is the act of cutting into tissue during surgery. In the management of pyogenic granuloma, a surgical incision is performed around the lesion to excise it, highlighting the role of surgical technique in successful removal and minimizing complications such as excessive bleeding.

11) Science (Scientific):
Science is the discipline of systematic study and experimentation in understanding phenomena in the natural world. In medical research, including dentistry, science provides a foundation for evidence-based treatments, such as the application of diode lasers in the management of conditions like pyogenic granuloma.

12) Lucknow:
Lucknow is a city in India known for its historical significance and as a center for education. In this case report, it serves as the location where the patient received treatment for pyogenic granuloma, which contextualizes the healthcare services available in a specific geographical area.

13) Surface:
Surface refers to the outer layer or boundary of an area or material. In the context of surgical procedures for pyogenic granuloma, attention to the surface tissue is crucial during excision to ensure complete removal of the lesion while preserving surrounding healthy structures.

14) Family:
Family denotes a social unit typically consisting of parents and their children. Medical histories, including family health backgrounds, are important when diagnosing and treating conditions like pyogenic granuloma, as genetic predispositions and shared environmental factors can influence health outcomes.

15) Cancer:
Cancer is a disease characterized by uncontrolled cell growth. While pyogenic granuloma itself is benign, understanding the differences between benign and malignant lesions is vital. The risk of misdiagnosis highlights the importance of histopathological evaluation to rule out cancerous transformations in lesions.

16) Nature:
Nature refers to the inherent qualities or characteristics of something. In medical terms, understanding the nature of pyogenic granuloma—its inflammatory origin and response to hormonal changes—helps clinicians design effective treatments tailored to the specific characteristics of the lesion.

17) Garnet:
Garnet, specifically Nd:YAG (Neodymium: Yttrium Aluminium Garnet) laser, refers to a type of laser used for surgical excision. It represents an advanced modality in treating pyogenic granulomas, noting its utility in minimally invasive surgery, providing benefits such as reduced bleeding and faster recovery times.

18) Gupta:
Gupta is a common surname in India and is referenced as an author of the study on pyogenic granuloma. It indicates collaborative research efforts in academia, emphasizing the importance of multidisciplinary approaches in addressing medical conditions through shared knowledge and expertise.

19) Field:
Field refers to a specific domain of study or professional practice. In medical contexts, the field of periodontology deals with the health of gums and supporting tissues of the teeth. Understanding the specific field of study is important for effectively addressing conditions like pyogenic granuloma.

20) Study (Studying):
Study refers to the process of researching and analyzing information to understand specific phenomena. In the context of medical literature, the study of conditions such as pyogenic granuloma involves examining clinical cases, treatment efficacy, and patient outcomes, contributing to the overall body of knowledge in healthcare.

21) Food:
Food refers to substances consumed to provide nutritional support for the body. In the context of pyogenic granuloma, dietary habits may influence oral health and the condition of gingival tissues, as certain foods could contribute to irritation or inflammation exacerbating dental issues.

22) Pain:
Pain is an unpleasant sensory experience often associated with injury or illness. While pyogenic granulomas are typically asymptomatic, they can cause pain if irritated. Addressing patient pain management during treatment is essential for overall care and to enhance patient comfort during procedures.

23) Post:
Post refers to the time period following a specific event or action. In medical treatment, post-operative care is crucial, as it outlines the steps taken after surgical procedures like the excision of pyogenic granuloma, ensuring proper healing and monitoring for recurrence of the lesion.

24) Pur:
Poor denotes a lack of quality or insufficient amounts. In oral health, poor hygiene can significantly contribute to the development of lesions like pyogenic granuloma, underscoring the need for effective oral care practices to prevent such conditions from arising or recurring in vulnerable populations.

25) Life:
Life refers to the condition of living organisms, encompassing a range of experiences and health conditions. The management of health issues like pyogenic granuloma impacts quality of life, as effective treatment can alleviate discomfort, enhance functionality, and improve the overall well-being of affected individuals.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Management of pyogenic granuloma in pregnancy with diode laser’. Further sources in the context of Science might help you critically compare this page with similair documents:

Treatment modalities, Oral hygiene, Informed consent, Follow Up Period, Chlorhexidine mouthwash, Hormonal factors, Recurrence Rate, Chief complaint, Local anaesthesia, Histopathological examination, Diode Laser, Inflammatory hyperplasia, Pyogenic granuloma, Local irritation, Surgical field, Excision Procedure, Ulcerated Area, Fibrous Appearance.

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