[Study of pyogenic granuloma of the oral cavity]

Reactive bite-related tongue lesions in cognitively impaired epilepsy patients: A report of two cases

AIM

Tongue bites frequently occur during seizures in epilepsy patients. We report two cases of cognitively impaired Lennox-Gastaut syndrome patients with reactive lesions on the tongues.

CASE PRESENTATIONS

Case 1 was a 30-year-old man whose chief complaint was mouth pain. Local finding was a small bean-sized pedunculated mass on the tongue, histopathologically diagnosed as inflammatory fibrous hyperplasia. Case 2 was a 45-year-old man whose chief complaint was bleeding from the mouth. His clinical finding was blood loss anemia. Local finding was a 20-mm-diameter pedunculated mass on the tongue, histopathologically diagnosed as pyogenic granuloma.

CONCLUSION

These mass lesions were believed to be reactive, caused by repetitive minor damage involving reparative fibrous tissue response. Therefore, the two cases may have involved reparative responses to mucosal injury incurred by accidental bites during epileptic seizures. Intellectual disability made medical treatment difficult and had allowed the massive lesions to form. It is necessary for cognitively impaired epilepsy patients to undergo regular dental examinations in order to get used to dental checks and to increase the number of intraoral observations in the context of close cooperation between dentists and epilepsy therapists.

Pyogenic granuloma associated with periodontal abscess and bone loss - A rare case report

A diverse group of the pathologic process can produce the enlargement of soft tissues in the oral cavity and often present a diagnostic challenge. This soft tissue enlargement may represent a variation of the normal anatomic structure, inflammatory reaction, cyst, neoplasm, and developmental anomalies. A group of reactive hyperplasias, which develop in response to chronic recurring tissue injury that stimulates an excessive tissue repair response. The pyogenic granuloma (PG) is a reactive enlargement that is an inflammatory response to local irritation such as calculus, a fractured tooth, rough dental restoration, and foreign materials or hormonal (pregnancy tumor) and rarely associated with bone loss. This paper presents a rare case of PG associated with periodontal abscess and bone loss in a 30-year-old male.

Oral pyogenic granuloma: a review of 38 cases from Ibadan, Nigeria

Thirty-eight cases of patients with histologically confirmed pyogenic granuloma of the oral cavity were treated at the University College Hospital Dental Centre during the period 1982-1993. The age of the patients at presentation ranged from 5 to 74 years (mean 33) and the male:female ratio was 1:1.2. The main site was the gingiva (n-29, 74%). The clinical presentation was generally similar to that in other studies except that most of the lesions were large. All 38 cases were treated by excision and there were no recurrences among those with adequate follow-up.