JICDRO is a UGC approved journal (Journal no. 63927)
CASE REPORT
Year : 2016  |  Volume : 8  |  Issue : 2  |  Page : 124-128

Lateral pedicle graft for repair of residual gingival defect following complete surgical excision of a pyogenic granuloma


Department of Periodontology, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India

Correspondence Address:
Prof. Awadhesh Kumar Singh
2/108, Vibhav Khand, Gomati Nagar, Lucknow - 226 010, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-0754.186426

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The pyogenic granuloma, one of the gingival lesions, has recurrence rate of 16%. To minimize the recurrence rate, it must be completely excised. Complete surgical excision can result in residual gingival defect. McCrea repaired residual gingival defect by subepithelial connective tissue graft with lateral mucogingival pedicle flap, and Choudhary et al. managed residual gingival defect by subepithelial connective tissue graft only. The aim of this case report was to use lateral pedicle graft for repair of residual gingival defect following complete surgical excision of a pyogenic granuloma. A patient with pyogenic granuloma on labial surface of maxillary central incisors was treated by complete surgical excision, and residual gingival defect was repaired by lateral pedicle graft. A lateral pedicle graft was raised as full-thickness up to mucogingival line and partial-thickness apical to mucogingival line from the left side of residual gingival defect. After 6 months, no recurrence was noticed. Thus, lateral pedicle graft can be potentially used for repair of residual gingival defect following complete surgical excision of a pyogenic granuloma.


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