Surgical and Mucogingival Management of an Oral Pyogenic Granuloma Associated With Fixed Orthodontic Treatment in an Adolescent Patient: A Case Report Publisher



Alcaraz Baturoni F J ; Ibarra Gonzalez J P ; Lopez Hernandez L F ; Ballesteros Chavez M A ; Olivos Navarro E F ; Alarcon Sanchez M A ; Heboyan A ; Lomeli Martinez S M
Source: Journal of Surgical Case Reports Published:2026

Abstract

Oral pyogenic granuloma (OPG) is a reactive vascular lesion that may worsen during orthodontic treatment due to biofilm-induced inflammation. This clinical case describes the surgical and mucogingival management of an OPG associated with fixed orthodontic appliances in an adolescent patient. A 12-year-old male patient presented with an oval, pedunculated lesion with a smooth surface and soft consistency, measuring approximately 8.5 × 6.5 mm, located on the attached gingiva adjacent to tooth #21. Therapeutic management consisted of complete surgical removal of the lesion under local anesthesia; additionally, mucogingival management was performed via partial dissection, lateral displacement, and coronal advancement of the tissue to promote preservation of the gingival architecture. Histopathological examination confirmed the diagnosis of OPG. Adequate healing was observed during clinical follow-up. This case highlights the importance of identifying reactive gingival lesions in young patients with fixed orthodontic appliances, in whom inflammatory and hormonal factors may play a parallel role. © The Author(s) 2026. Published by Oxford University Press and JSCR Publishing Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.