Surgical treatment of peripheral giant cell granuloma: a case report

Peripheral giant cell granuloma (PGCG), epulis form, is considered the most frequent lesion of this particular type of cells in the jaws. It originates from the connective tissue of the periosteum, the periodontal membrane or as a response to irritation, located in the gingival area and in the alveolar bone of patients. It has been described to arise as a response to local irritation or trauma, traumatic occlusion, dental implants, poor oral hygiene, among others. Clinically, the lesion is described as a dome-shaped swelling with a sessile and firm base, which can vary in color from dark red, bluish red and/or purple red. It is described as a painless lesion that causes symptoms only in cases of ulceration or superinfection. In this case report we present a woman with aesthetic and functional discomfort caused by a gum lesion of several years of evolution. After the evaluation, PGCG was diagnosed, a pathology that caused gingival deformity at the maxillary level. Physical and complementary examinations were performed. Excisional surgery was performed. The early and precise diagnosis of this lesion will be able to carry out a conservative treatment without risk for the neighboring teeth or for the addictive bone