A pyogenic granuloma on buccal mucosa related to an embedded tooth root

A ۴۸-year–old female complained of a growing mass in the right buccal mucosa near maxillary molar teeth from ۳ months ago. Clinical examination showed a pink-red sessile nodule (۱.۵×۱×۰.۵ cm) with a smooth surface. The mass was generally firm and bony hard in palpation in some areas and had a purulent discharge. Clinical, radiographical and pathological evaluations showed that one of the roots of the first maxillary molar was in the lesion. In a review of the literature, there was no similar case report. Diagnostic assessment and clinical management of the lesion were discussed. The review of the literatures there was not even a single similar case report. Diagnostic assessment and clinical management were discussed.

Keywords:

Foreign bodies , impacted root , iatrogenic dentistry