Upper interincisal gingival enlargement in pediatric age

Authors

  • Rafael Alberto Claveria Clark Clínica Estomatológica Provincial Mártires del Moncada. Facultad de Estomatología, Universidad de Ciencias Médicas de Santiago de Cuba, Cuba https://orcid.org/0000-0003-0385-2068
  • Dixan Gutiérrez Torres Clínica Estomatológica Provincial Mártires del Moncada. Facultad de Estomatología, Universidad de Ciencias Médicas de Santiago de Cuba, Cuba. https://orcid.org/0000-0003-2262-1070
  • Maritza Peña Sisto Hospital Dr. Juan Bruno Zayas Alfonso, Facultad de Estomatología, Universidad de Ciencias Médicas de Santiago de Cuba, Cuba. https://orcid.org/0000-0003-3633-4400

Keywords:

biopsy, granuloma, gingival hyperplasia, peripheral giant cell granuloma

Abstract

Introduction: Peripheral giant cell granuloma is a gingival enlargement or reactive hyperplasia that occurs in the gingiva in response to local irritation or chronic trauma.

Objective: To describe the clinical case of a pediatric patient with aesthetic and functional impairment due to an interincisal peripheral giant cell granuloma.

Clinical Case: A 10-year-old male patient presented with a painless, firm, hypercolored, sessile-based, localized enlargement in the upper central interincisal region. This enlargement appeared after minor trauma weeks earlier. An excisional biopsy confirmed the suspected diagnosis of a pyogenic granuloma, but the condition relapsed significantly. Therefore, it was necessary to perform another excisional biopsy, this time with a periodontal flap due to bone involvement.

Conclusions: Peripheral giant cell granuloma can be very aggressive in children, affecting aesthetics and function, and its removal by periodontal flap reduces the possibility of recurrence.

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Published

2025-09-30

How to Cite

1.
Claveria Clark RA, Gutiérrez Torres D, Peña Sisto M. Upper interincisal gingival enlargement in pediatric age. Rev. cuba. med. mil [Internet]. 2025 Sep. 30 [cited 2025 Oct. 3];54(4):e025076382. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/76382