Peripheral giant cell granuloma in immunosuppressed patient – case report

Vol. 13 – Number 50 – 2022 IMPLANT DENTISTRY NOTEBOOK Case report Page 62-66 Peripheral giant cell granuloma in immunosuppressed patient – case report Francisco Jadson Lima1 Carlos Eduardo de Oliveira Soares2 Vilson Rocha Cortez Teles de Alencar3 Augusto Henrique Alves de Oliveira4 Leticia Stefenon5 Abstract Peripheral giant cell granuloma is a non-neoplastic lesion characterized by tissue growth as a hyperplastic response to local irritation or chronic trauma (reactive lesion) which occurs exclusively in the gingiva and alveolar ridge originated by the periosteum. It is important for the dentist to recognize and act on this type of common lesion on the mucosa. This report aimed to describe and discuss the clinical management, diagnosis, treatment, and followup of a peripheral giant cell granuloma in an immunosuppressed patient. Male patient, 61 years old, previously received a hepatic transplant and used immunosuppressive medication. During dental treatment, he complained of the appearance of a lesion in the alveolar ridge of the rounded mandible, exophytic, asymptomatic, red-purple color, pediculated, measuring 1 cm in diameter without ulcerations on the surface and without radigraphic evidence of bone involvement. With the diagnostic hypothesis of PGCG, complete removal of the lesion was carried out and the histopathological examination confirmed the clinical diagnosis. The case reported shown the importance of the correct professional management of the patient, promoting a premature and humanized diagnosis. Descriptors: Giant cell granuloma, dental diagnostic, ambulatory surgical procedures. 1 Dr. in Oral Pathology – UFRN, Professor of the Dentistry Course – UNILEÃO. 2 Specialist in Prosthodontics – Ceará Academy of Dentistry, Professor of Dentistry – UNILEÃO. 3 Spec. in Oral and Maxillofacial Surgery and Traumatology – Roberto Santos General Hospital/Bahian School of Medicine and Public Health/Bahian Health Health of Bahia/CFO, Prof. of the Dentistry Course – UNILEÃO. 4 Master of Science in Dentistry – Universidade Potiguar (UnP), Prof. of Dental School – UNILEÃO 5 Me. in Dental Clinic – UPF, Prof. of General Pathology, Oral Pathology and Stomatology – FASURGS. DOI: 10.24077/2022;13502103814