PMC3335552_01
Exophytic and hemorrhagic lesion in the lower canine-premolar region (Buccal view).
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Patient's medical history was noncontributory, and on clinical examination there was a smooth exophytic lesion manifested as a small erythematous papule on a pedunculated base which is hemorrhagic with spontaneous bleeding on probing the area with soft tissue growth (Figures 1 and 2).
Exophytic and hemorrhagic lesion in the lower canine-premolar region (lingual view).
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Patient's medical history was noncontributory, and on clinical examination there was a smooth exophytic lesion manifested as a small erythematous papule on a pedunculated base which is hemorrhagic with spontaneous bleeding on probing the area with soft tissue growth (Figures 1 and 2).
Incisional biopsy done on the lingual side.
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So by considering all the above features a provisional diagnosis was made as pyogenic granuloma and incisional biopsy was performed under local anaesthesia and sent for histological examination (Figure 3).
Size of the lesion after 7 days of nonsurgical treatment.
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On observation, there was gradual reduction in the growth after the first week (Figure 4).
Size of the lesion after 4 weeks of nonsurgical treatment.
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After 4 weeks there was no growth visible clinically (Figure 5).
Size of the lesion after 6 months of nonsurgical treatment.
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The patient was recalled every month for checkup and there was no recurrence even at the end of 6 months (Figure 6).