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Recurrent peripheral giant cell granuloma associated with cervical resorption
R Nedir1, T Lombardi, J Samson
1Division of Stomatology and Oral Surgery, School of Dental Medicine, Faculty of Medicine, Geneva University, Switzerland.
Journal of Periodontology
|April 1, 1997
Summary
Recurrent peripheral giant cell granuloma can cause rare tooth root resorption. Surgical removal of the lesion resolved the resorption and prevented recurrence in this case.
Area of Science:
- Dentistry
- Oral Pathology
Background:
- Peripheral giant cell granuloma (PGCG) is a common reactive hyperplasia of the oral mucosa.
- It typically presents as a sessile or pedunculated lesion on the gingiva or alveolar mucosa.
Observation:
- A case of recurrent PGCG in a 38-year-old man is presented.
- The lesion was located on the attached gingiva of the lower left second premolar (tooth #35).
- Surgical excision revealed superficial root resorption at the cervical region of the tooth.
Findings:
- The PGCG lesion was surgically excised.
- The superficial root resorption was smoothed.
- No recurrence or further resorption was observed after 14 months of follow-up.
Implications:
- This case highlights the potential, though rare, association between peripheral giant cell granuloma and tooth root resorption.
- Clinicians should be aware of this possibility when managing PGCG, especially recurrent cases.
- Prompt surgical intervention and follow-up may prevent further complications like progressive root resorption.