Idiopathic huge pyogenic granuloma in young and old: An unusually large lesion in two cases
A 25-year-old male patient reported with a chief complaint of a mass on the gums in lower right posterior region of the jaw since 10 months. The lesion was painless and asymptomatic, except for the slight discomfort to the patient during mastication. The mass was gradually increasing in size. The patient had undergone surgical excision of the lesion 12 months back at a private clinic. No history of extraction was recalled by the patient and no history of any other systemic disease was present. On clinical examination, a localized, exophytic mass with pedunculated base measuring about 5 × 5 cm size was seen on buccal gingiva in relation to 46, 47 and 48 []. The surface of the lesion was smooth and the mass seemed to be originating from the interdental region. There was spontaneous bleeding on probing. General examination revealed no other abnormalities or cervical lymphadenopathy. No abnormality was detected on hard tissue examination. Teeth in relation to lesion were not mobile and were all vital. Preoperatively an orthopantomogram was taken [].