Generalized Gingival Pyogenic Granuloma in a 11 Years Old Female – A Diagnostic Challenge

Aims: To include pyogenic granuloma as one of the differential diagnosis of generalized gingival enlargements.

Presentation of Case: In this article, we report a 11 years old female patient with generalized gingival enlargement, which on thorough clinical, histopathological and radiological examination concluded as a generalized gingival pyogenic granuloma.

Discussion: Pyogenic granuloma (PG), a non specific conditioned gingival enlargement is a common localized exaggerated reactive hyperplasia of connective tissue of the oral cavity or skin in response to local factors and chronic irritation. But PG presenting as a generalized gingival enlargement is very rare and uncommon. Only one case was reported on “Generalized gingival pyogenic granuloma” in 2011, showing its rarity. But in our case, in addition to generalized presentation of pyogenic granuloma, it was also associated with extensive alveolar bone loss, tooth mobility and root resorption.

Conclusion: Hence, although it is uncommon, pyogenic granuloma can also occur as a generalized gingival enlargement.