Management of a Peripheral Giant Cell Granuloma in the esthetic area of upper jaw: A case report
Identifieur interne : 000235 ( Pmc/Checkpoint ); précédent : 000234; suivant : 000236Management of a Peripheral Giant Cell Granuloma in the esthetic area of upper jaw: A case report
Auteurs : Alaa Z. Abu Gharbyah ; Mohammad AssafSource :
- International Journal of Surgery Case Reports [ 2210-2612 ] ; 2014.
Abstract
Peripheral Giant Cell Granuloma not responding to non-surgical treatment. Peripheral Giant Cell Granuloma surgical excision reversed the tooth migration caused by the lesion. Connective tissue grafting to prevent esthetic complications.
Url:
DOI: 10.1016/j.ijscr.2014.09.014
PubMed: 25290380
PubMed Central: 4245672
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Management of a Peripheral Giant Cell Granuloma in the esthetic area of upper jaw: A case report</title><author><name sortKey="Abu Gharbyah, Alaa Z" sort="Abu Gharbyah, Alaa Z" uniqKey="Abu Gharbyah A" first="Alaa Z." last="Abu Gharbyah">Alaa Z. Abu Gharbyah</name><affiliation><nlm:aff id="aff0005">Alpha Clinic, Private Practice Limited to Periodontology and Dental Implants, Ramallah, Palestine</nlm:aff><wicri:noCountry code="subfield">Palestine</wicri:noCountry></affiliation></author><author><name sortKey="Assaf, Mohammad" sort="Assaf, Mohammad" uniqKey="Assaf M" first="Mohammad" last="Assaf">Mohammad Assaf</name><affiliation><nlm:aff id="aff0010">Department of Periodontology and Preventive Dentistry, Al-Quds University, Jerusalem, Palestine</nlm:aff><wicri:noCountry code="subfield">Palestine</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25290380</idno><idno type="pmc">4245672</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4245672</idno><idno type="RBID">PMC:4245672</idno><idno type="doi">10.1016/j.ijscr.2014.09.014</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000256</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000256</idno><idno type="wicri:Area/Pmc/Curation">000256</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000256</idno><idno type="wicri:Area/Pmc/Checkpoint">000235</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000235</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Management of a Peripheral Giant Cell Granuloma in the esthetic area of upper jaw: A case report</title><author><name sortKey="Abu Gharbyah, Alaa Z" sort="Abu Gharbyah, Alaa Z" uniqKey="Abu Gharbyah A" first="Alaa Z." last="Abu Gharbyah">Alaa Z. Abu Gharbyah</name><affiliation><nlm:aff id="aff0005">Alpha Clinic, Private Practice Limited to Periodontology and Dental Implants, Ramallah, Palestine</nlm:aff><wicri:noCountry code="subfield">Palestine</wicri:noCountry></affiliation></author><author><name sortKey="Assaf, Mohammad" sort="Assaf, Mohammad" uniqKey="Assaf M" first="Mohammad" last="Assaf">Mohammad Assaf</name><affiliation><nlm:aff id="aff0010">Department of Periodontology and Preventive Dentistry, Al-Quds University, Jerusalem, Palestine</nlm:aff><wicri:noCountry code="subfield">Palestine</wicri:noCountry></affiliation></author></analytic><series><title level="j">International Journal of Surgery Case Reports</title><idno type="eISSN">2210-2612</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Highlights</title><p><list list-type="simple"><list-item id="lsti0005"><label>•</label><p>Peripheral Giant Cell Granuloma not responding to non-surgical treatment.</p></list-item><list-item id="lsti0010"><label>•</label><p>Peripheral Giant Cell Granuloma surgical excision reversed the tooth migration caused by the lesion.</p></list-item><list-item id="lsti0015"><label>•</label><p>Connective tissue grafting to prevent esthetic complications.</p></list-item></list></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Soames, J V" uniqKey="Soames J">J.V. Soames</name></author><author><name sortKey="Southam, J C" uniqKey="Southam J">J.C. Southam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Flaitz, C M" uniqKey="Flaitz C">C.M. Flaitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pandolfi, P J" uniqKey="Pandolfi P">P.J. Pandolfi</name></author><author><name sortKey="Felefli, S" uniqKey="Felefli S">S. Felefli</name></author><author><name sortKey="Flaitz, C M" uniqKey="Flaitz C">C.M. Flaitz</name></author><author><name sortKey="Jhonson, J V" uniqKey="Jhonson J">J.V. Jhonson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Katsikeris, N" uniqKey="Katsikeris N">N. Katsikeris</name></author><author><name sortKey="Kakarantza Angelopoulou, E" uniqKey="Kakarantza Angelopoulou E">E. Kakarantza-Angelopoulou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Katsikeris, N" uniqKey="Katsikeris N">N. Katsikeris</name></author><author><name sortKey="Kakarantza Angelopoulou, E" uniqKey="Kakarantza Angelopoulou E">E. Kakarantza-Angelopoulou</name></author><author><name sortKey="Angelopoulos, A P" uniqKey="Angelopoulos A">A.P. Angelopoulos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kfir, Y" uniqKey="Kfir Y">Y. Kfir</name></author><author><name sortKey="Buchner, A" uniqKey="Buchner A">A. Buchner</name></author><author><name sortKey="Hansen, L" uniqKey="Hansen L">L. Hansen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bodner, L" uniqKey="Bodner L">L. Bodner</name></author><author><name sortKey="Peist, M" uniqKey="Peist M">M. Peist</name></author><author><name sortKey="Gatot, A" uniqKey="Gatot A">A. Gatot</name></author><author><name sortKey="Fliss, D M" uniqKey="Fliss D">D.M. Fliss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eversole, L F" uniqKey="Eversole L">L.F. Eversole</name></author><author><name sortKey="Rovin, S" uniqKey="Rovin S">S. Rovin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mighell, A J" uniqKey="Mighell A">A.J. Mighell</name></author><author><name sortKey="Robinson, P A" uniqKey="Robinson P">P.A. Robinson</name></author><author><name sortKey="Hume, W J" uniqKey="Hume W">W.J. Hume</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="other"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Surg Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">Int J Surg Case Rep</journal-id><journal-title-group><journal-title>International Journal of Surgery Case Reports</journal-title></journal-title-group><issn pub-type="epub">2210-2612</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25290380</article-id><article-id pub-id-type="pmc">4245672</article-id><article-id pub-id-type="publisher-id">S2210-2612(14)00223-5</article-id><article-id pub-id-type="doi">10.1016/j.ijscr.2014.09.014</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Management of a Peripheral Giant Cell Granuloma in the esthetic area of upper jaw: A case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Abu Gharbyah</surname><given-names>Alaa’ Z.</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Assaf</surname><given-names>Mohammad</given-names></name><email>massaf@dentist.alquds.edu</email><email>mmassaf@gmail.com</email><xref rid="aff0010" ref-type="aff">b</xref><xref rid="cor0005" ref-type="corresp">⁎</xref></contrib></contrib-group><aff id="aff0005"><label>a</label>Alpha Clinic, Private Practice Limited to Periodontology and Dental Implants, Ramallah, Palestine</aff><aff id="aff0010"><label>b</label>Department of Periodontology and Preventive Dentistry, Al-Quds University, Jerusalem, Palestine</aff><author-notes><corresp id="cor0005"><label>⁎</label>Corresponding author at: Faculty of Dentistry, Al-Quds University, Jerusalem, Palestine. Tel/fax: +970 22791065. <email>massaf@dentist.alquds.edu</email><email>mmassaf@gmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>22</day><month>9</month><year>2014</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>22</day><month>9</month><year>2014</year></pub-date><pub-date pub-type="collection"><year>2014</year></pub-date><volume>5</volume><issue>11</issue><fpage>779</fpage><lpage>782</lpage><history><date date-type="received"><day>28</day><month>6</month><year>2014</year></date><date date-type="accepted"><day>9</day><month>9</month><year>2014</year></date></history><permissions><copyright-statement>© 2014 The Authors</copyright-statement><copyright-year>2014</copyright-year><license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).</license-p></license></permissions><abstract abstract-type="author-highlights"><title>Highlights</title><p><list list-type="simple"><list-item id="lsti0005"><label>•</label><p>Peripheral Giant Cell Granuloma not responding to non-surgical treatment.</p></list-item><list-item id="lsti0010"><label>•</label><p>Peripheral Giant Cell Granuloma surgical excision reversed the tooth migration caused by the lesion.</p></list-item><list-item id="lsti0015"><label>•</label><p>Connective tissue grafting to prevent esthetic complications.</p></list-item></list></p></abstract><abstract><sec><title>INTRODUCTION</title><p>Peripheral Giant Cell Granuloma (PGCG) is the most common giant cell lesion found in the jaws; it originates from the connective tissue of the periosteum or from the periodontal ligament in response to local chronic irritation. Early and accurate diagnosis of these lesions allows for conservative management without compromising adjacent teeth or tissues.</p></sec><sec><title>PRESENTATION OF CASE</title><p>This paper presents a case of PGCG in the esthetic zone of the upper jaw in a 23-year-old female patient. The treatment offered consisted of an excisional biopsy with immediate soft tissue grafting to prevent esthetic complications. The growing lesion has caused an interproximal spacing between the central and lateral incisors. The spacing spontaneously closed during the next six weeks after excision and no relapse occurred during postoperative follow-up.</p></sec><sec><title>DISCUSSION</title><p>Proper management of a PGCG lesion requires excluding other pathologies prior to planning for surgery. Correct diagnosis of such lesions is essential to optimize the treatment and prevent recurrence. Clinical examination alone may not give a correct picture, thereby requiring histopathological confirmation.</p></sec><sec><title>CONCLUSION</title><p>Immediate soft tissue augmentation using a connective tissue graft has been suggested as a surgical solution after removal of PGCG to minimize patient discomfort and the loss of precious tissues.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>Peripheral Giant Cell Granuloma</kwd><kwd>Excisional biopsy</kwd><kwd>Connective tissue graft</kwd><kwd>Oral lesion</kwd><kwd>Gingival enlargement</kwd></kwd-group></article-meta></front><floats-group><fig id="fig0005"><label>Fig. 1</label><caption><p>Exophytic gingival growth on the anterior buccal maxillary gingiva.</p></caption><graphic xlink:href="gr1"></graphic></fig><fig id="fig0010"><label>Fig. 2</label><caption><p>Solitary, pedunculated, exfoliated, lesion in the gingiva between upper left central and lateral incisors.</p></caption><graphic xlink:href="gr2"></graphic></fig><fig id="fig0015"><label>Fig. 3</label><caption><p>Intra-oral peri-apical radiograph revealing slight localized reduction of the level of interdental crestal bone between the two incisors.</p></caption><graphic xlink:href="gr3"></graphic></fig><fig id="fig0020"><label>Fig. 4</label><caption><p>Excision of lesion.</p></caption><graphic xlink:href="gr4"></graphic></fig><fig id="fig0025"><label>Fig. 5</label><caption><p>Connective tissue graft sutured on defect area to compensate the excised tissues and to avoid an esthetic complication.</p></caption><graphic xlink:href="gr5"></graphic></fig><fig id="fig0030"><label>Fig. 6</label><caption><p>The excised tissue was sent for histo-pathological analysis after being placed in a container with formalin.</p></caption><graphic xlink:href="gr6"></graphic></fig><fig id="fig0035"><label>Fig. 7</label><caption><p>Histo-pathological analysis showing numerous osteoclast-like giant cells near hemorrhagic areas, no necrosis observed.</p></caption><graphic xlink:href="gr7"></graphic></fig><fig id="fig0040"><label>Fig. 8</label><caption><p>One year follow-up, no signs of recurrence of the lesion have been observed.</p></caption><graphic xlink:href="gr8"></graphic></fig></floats-group></pmc><affiliations><list></list><tree><noCountry><name sortKey="Abu Gharbyah, Alaa Z" sort="Abu Gharbyah, Alaa Z" uniqKey="Abu Gharbyah A" first="Alaa Z." last="Abu Gharbyah">Alaa Z. 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