Oral Pyogenic Granuloma


Oral Pyogenic Granuloma, Epulis gravidarum, Pregnancy oral tumor

  • Epidemiology
  1. Prevalence: Occurs in 5% of pregnancies
  • Causes
  1. Poor Oral Hygiene
  2. Local Trauma (e.g. dental fillings or dentures)
  3. Pregnancy (Epulis gravidarum, Pregnancy oral tumor)
  • Symptoms
  1. Rapidly growing Oral Lesion
  • Signs
  1. Erythematous Gingival Nodule or lobulated swelling
  2. May be as large as 1-2 centimeters in size
  3. Distribution
    1. Gingiva most commonly
    2. Less common on lip, Tongue or Buccal mucosa
  • Management
  1. Pregnancy: Observe
    1. Typically recedes after pregnancy
    2. Removal may be indicated in excessive bleeding
    3. Higher recurrence rate if occurs during pregnancy
  2. Non-pregnanct: Surgical excision
    1. Low Incidence for recurrence