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Pyogenic granuloma: a rare side complication from an orthodontic appliance
Priti N Acharya1, Daljit Gill, Tim Lloyd
1Eastman Dental Hospital UCLH NHS Trust, London,UK. pritinacharya@hotmail.com.
Journal of Orthodontics
|December 14, 2011
Summary
A rare pyogenic granuloma side effect occurred in a teen using a fixed quad helix orthodontic appliance. Surgical removal of the mass and appliance resolved the issue.
Area of Science:
- Orthodontics
- Oral Surgery
- Pathology
Background:
- Fixed quad helix appliances are commonly used in orthodontics for palatal expansion.
- Pyogenic granulomas are benign, rapidly growing lesions often associated with irritation or trauma.
Observation:
- A 14-year-old female presented with a painful, enlarging tongue mass.
- The patient had a fixed quad helix orthodontic appliance in place.
- The mass was diagnosed as a pyogenic granuloma.
Findings:
- The pyogenic granuloma was directly associated with the presence of the fixed quad helix appliance.
- Surgical excision of the pyogenic granuloma was performed.
- Removal of the orthodontic appliance was also necessary for management.
Implications:
- This case highlights a rare but significant potential side effect of fixed quad helix appliances.
- Clinicians should be aware of pyogenic granuloma formation in patients with orthodontic appliances.
- Prompt diagnosis and management, including appliance removal, are crucial for resolution.
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