Surgical excision of pyogenic granuloma along with coronally advanced flap in maxillary esthetic region: a case report.
Abstract: Pyogenic granuloma is a common form of inflammatory hyperplasia occurring in the oral cavity. Its etiological factors are often associated with underlying irritants such as local irritation, traumatic injury, or hormonal influences (including puberty, menstruation, and pregnancy), although the exact etiopathogenesis remains uncertain. Clinically, it presents as an exophytic lesion with either a pedunculated or sessile base and a smooth or lobulated surface. Given the limited literature on the management of residual gingival defects, the present case report not only outlines the diagnosis and treatment of pyogenic granuloma but also highlights the immediate and successful management of the residual gingival defect in the esthetic zone using a coronally advanced flap. Healing was uneventful and satisfactory at 10 days, with excellent coverage of the mucogingival defect, good gingival esthetics, and normal sulcus depth observed. No complications were noted during follow-up periods at 2 weeks, 1 month, 3 months, and 6 months.Keywords: coronally advanced flap, excisional biopsy, hyperplasia, pyogenic granuloma, residual gingival defect.