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Management of a Peripheral Giant Cell Granuloma Related to an Implant-Supported Prosthesis: A Case Report.

Afroditi PitaSteve Ruiz
Published in: The International journal of periodontics & restorative dentistry (2024)
Peripheral giant cell granulomas (PGCGs) are benign oral cavity tumors, reactive in nature, caused by local trauma or irritation. A 51-year-old woman presented with a soft tissue lesion related to an implant at site 36 (FDI numbering system). An excisional biopsy was completed, and the soft tissue mass was diagnosed as a PGCG. The biopsy led to a lack of keratinized tissue and vestibular depth around the implant site. After the initial healing phase, a free gingival graft was completed. Then, following soft tissue maturation, the cement-retained implant-supported prosthesis was converted into a screwretained implant-supported prosthesis that was easily accessible. With a combined periodontal and restorative approach, the KT increased, adequate vestibular depth was achieved, and there was no recurrence of the PGCG.
Keyphrases
  • soft tissue
  • giant cell
  • ultrasound guided
  • optical coherence tomography
  • fine needle aspiration
  • chemotherapy induced