Author/Authors :
Ricci Volpato, Luiz Evaristo Integrated Dental Sciences - University of Cuiaba, Cuiaba, MT, Brazil , Almeida Leite, Cristhiane Department of Oral Pathology - University of Cuiaba, Cuiaba, MT, Brazil , Haddad Anhesini, Brunna Restorative Dentistry, University of Sao Paulo, Sao Paulo, SP, Brazil , Gomes da Silva Aguilera, Jéssica Marques University of Cuiaba, Cuiaba , MT, Brazil , Henrique Borges, Álvaro Integrated Dental Sciences - University of Cuiaba, Cuiaba, MT, Brazil
Abstract :
Peripheral giant cell granuloma (PGCG) is a nonneoplastic lesion that may affect any region of the gingiva or alveolar mucosa of
edentulous and toothed areas, preferentially in the mandible and rarely occurring in children. This report describes the clinical and
histopathological findings of a PGCG diagnosed in the maxilla of a 9-year-old boy associated with a tooth erupting improperly and a
traumatic habit.The patient did not present anything noteworthy on extraoral physical examination or medical history, but the habit
of picking his teeth and “poking” the gingiva. The oral lesion consisted of an asymptomatic, rounded, pink colored, smooth surface,
soft tissue injury with fibrous consistency and approximated size of 1.5 cm located in the attached gingiva between the upper left
permanent lateral incisor and the primary canine of the same side. Excisional biopsy was performed through curettage and removal
of the periosteum, periodontal ligament, and curettage of the involved teeth with vestibular access. The histopathological analysis
led to the diagnosis of PGCG. The prompt diagnosis and treatment of the PGCG resulted in a more conservative surgery and a
reduced risk for tooth and bone loss and recurrence of the lesion. After four years of control, patient had no relapse of the lesion
and good gingival and osseous health.
