Volume 9, Issue 1 (2-2020)                   2020, 9(1): 18-23 | Back to browse issues page


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Hoseini M, Zarei F. Case Report: Management of a Peripheral Giant Cell Granuloma in the esthetic zone of upper jaw. Journal title 2020; 9 (1) :18-23
URL: http://3dj.gums.ac.ir/article-1-459-en.html
1- Post-graduate student, Department of Orthodontics, School of Dentistry, Guilan University of Medical Science, Rasht, Iran.
2- Post-graduate student, Department of Periodontology, School of Dentistry, Guilan University of Medical Science, Rasht, Iran.
Abstract:   (738 Views)
The peripheral giant cell granuloma (PGCG) or the so-called “giant cell epulis “ is one of the most common oral giant cell lesions. It occurs in
response to chronic local irritation, and originates from mucoperiosteum or the
periodontal ligament. This article presents the clinical and histopathological findings of PGCG in the esthetic zone in a 26 years old female patient. The treatment plan consisted of an excisional biopsy with immediate soft tissue grafting by placement of a free gingival graft in order to prevent esthetic
complications. The six-month clinical follow-up showed no recurrence of the lesion and soft issue healing.Proper management of a PGCG lesion requires eliminating other pathologies prior to planning for surgery. Correct diagnosis of such
lesions is essential to optimize the treatment and prevent recurrence. Clinical
examination alone may not give a correct picture, thereby requiring histopathological confirmation.Immediate soft tissue augmentation using free gingival graft has been suggested as a surgical solution after removal of PGCG when soft tissues and the whole attached gingiva is lost.
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Type of Study: case report | Subject: General
Received: 2020/02/5 | Accepted: 2020/03/15 | Published: 2020/03/15

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