Histologic examination reveals sectioned soft tissue consisting of a lesion composed of ulcerated mucosa covering a core of cellular fibrous connective tissue admixed with proliferating vascular channels and a mixed inflammatory infiltrate. The treatment of choice is conservative surgical excision. For gingival lesions, excising the lesion down to periosteum and scaling adjacent teeth to remove any calculus and plaque that may be a source of continuing irritation is recommended. Pyogenic granuloma occasionally recurs and a re-excision is necessary. The recurrence rate is higher for pyogenic granulomas removed during pregnancy.
Prevention consists of routine dental cleanings and home care, especially during pregnancy.
No complications are anticipated with removal of this lesion other than the chance of a cosmetic gingival defect. The prognosis is excellent and the lesion usually does not recur unless inadequately removed. Lesions removed during pregnancy may have a higher recurrence rate. These toothbrushes encourage better hygiene. Classical appearance of a pyogenic granuloma involving the buccal gingiva of teeth numbers 20 and 21.