Peripheral giant cell granuloma associated with a dental implant

Abstract Background Peripheral giant cell granuloma (PGCG) is an uncommon pathology that affects gingival or alveolar mucosa. Although PGCG can be associated with dental implants, little is known about this lesion and implant osseointegration as well as its etiopathogenesis and the treatments availa...

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Main Authors: Rafaela Carriço Porto Baesso, Maria Carolina de Lima Jacy Monteiro Barki, Rebeca de Souza Azevedo, Karla Bianca Fernandes da Costa Fontes, Débora Lima Pereira, Renata Tucci, Fábio Ramôa Pires, Bruna Lavinas Sayed Picciani
Format: Article
Language:English
Published: BMC 2019-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-019-0983-2
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author Rafaela Carriço Porto Baesso
Maria Carolina de Lima Jacy Monteiro Barki
Rebeca de Souza Azevedo
Karla Bianca Fernandes da Costa Fontes
Débora Lima Pereira
Renata Tucci
Fábio Ramôa Pires
Bruna Lavinas Sayed Picciani
author_facet Rafaela Carriço Porto Baesso
Maria Carolina de Lima Jacy Monteiro Barki
Rebeca de Souza Azevedo
Karla Bianca Fernandes da Costa Fontes
Débora Lima Pereira
Renata Tucci
Fábio Ramôa Pires
Bruna Lavinas Sayed Picciani
author_sort Rafaela Carriço Porto Baesso
collection DOAJ
description Abstract Background Peripheral giant cell granuloma (PGCG) is an uncommon pathology that affects gingival or alveolar mucosa. Although PGCG can be associated with dental implants, little is known about this lesion and implant osseointegration as well as its etiopathogenesis and the treatments available. This study sought to report a rare case of PGCG associated with dental implant, emphasizing its clinical and histopathological aspects. Case presentation A 53-year-old man had an exophytic, reddish lesion, around a crown attached to a dental implant located in the left mandible. Radiographically, there was bone loss around the implant. After excisional biopsy, histological examination revealed a submucosal proliferation of multinucleated giant cells rendering the diagnosis of peripheral giant cell granuloma. Patient has been under follow-up for 6 months with no recurrence. Conclusions Peri-implant lesions must be completely removed to prevent recurrence of PGCG and implant failure, even in cases suspected to be reactive. Besides, histological examination must be performed on all peri-implant reactions to achieve the appropriate diagnosis and, consequently, the best treatment and follow up.
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spelling doaj.art-c53c6b8e989043c596e179d1d579e06f2022-12-21T22:48:11ZengBMCBMC Oral Health1472-68312019-12-011911610.1186/s12903-019-0983-2Peripheral giant cell granuloma associated with a dental implantRafaela Carriço Porto Baesso0Maria Carolina de Lima Jacy Monteiro Barki1Rebeca de Souza Azevedo2Karla Bianca Fernandes da Costa Fontes3Débora Lima Pereira4Renata Tucci5Fábio Ramôa Pires6Bruna Lavinas Sayed Picciani7Graduate Program in Dentistry, Health Institute of Nova Friburgo, Universidade Federal FluminenseDepartment of Specific Formation, School of Dentistry, Universidade Federal FluminenseDepartment of Specific Formation, School of Dentistry, Universidade Federal FluminenseDepartment of Specific Formation, School of Dentistry, Universidade Federal FluminenseDepartment of Specific Formation, School of Dentistry, Universidade Federal FluminenseDepartment of Specific Formation, School of Dentistry, Universidade Federal FluminenseDepartment of Oral Pathology, School of Dentistry, Universidade Estadual do Rio de JaneiroGraduate Program in Dentistry, Health Institute of Nova Friburgo, Universidade Federal FluminenseAbstract Background Peripheral giant cell granuloma (PGCG) is an uncommon pathology that affects gingival or alveolar mucosa. Although PGCG can be associated with dental implants, little is known about this lesion and implant osseointegration as well as its etiopathogenesis and the treatments available. This study sought to report a rare case of PGCG associated with dental implant, emphasizing its clinical and histopathological aspects. Case presentation A 53-year-old man had an exophytic, reddish lesion, around a crown attached to a dental implant located in the left mandible. Radiographically, there was bone loss around the implant. After excisional biopsy, histological examination revealed a submucosal proliferation of multinucleated giant cells rendering the diagnosis of peripheral giant cell granuloma. Patient has been under follow-up for 6 months with no recurrence. Conclusions Peri-implant lesions must be completely removed to prevent recurrence of PGCG and implant failure, even in cases suspected to be reactive. Besides, histological examination must be performed on all peri-implant reactions to achieve the appropriate diagnosis and, consequently, the best treatment and follow up.https://doi.org/10.1186/s12903-019-0983-2Peripheral giant cell granulomaDental implantsOral lesionPeri-implant lesions
spellingShingle Rafaela Carriço Porto Baesso
Maria Carolina de Lima Jacy Monteiro Barki
Rebeca de Souza Azevedo
Karla Bianca Fernandes da Costa Fontes
Débora Lima Pereira
Renata Tucci
Fábio Ramôa Pires
Bruna Lavinas Sayed Picciani
Peripheral giant cell granuloma associated with a dental implant
BMC Oral Health
Peripheral giant cell granuloma
Dental implants
Oral lesion
Peri-implant lesions
title Peripheral giant cell granuloma associated with a dental implant
title_full Peripheral giant cell granuloma associated with a dental implant
title_fullStr Peripheral giant cell granuloma associated with a dental implant
title_full_unstemmed Peripheral giant cell granuloma associated with a dental implant
title_short Peripheral giant cell granuloma associated with a dental implant
title_sort peripheral giant cell granuloma associated with a dental implant
topic Peripheral giant cell granuloma
Dental implants
Oral lesion
Peri-implant lesions
url https://doi.org/10.1186/s12903-019-0983-2
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