Pyogenic Granuloma as Reactive Gingival Overgrowth in an Atypical Mandibular Location: A Case Report

Pyogenic granuloma (PG) is a commonly encountered reactive lesion of the gingiva that develops due to local irritation, trauma, or poor oral hygiene. It is frequently seen in maxillary anterior region gingiva and has a predilection for females. However, when it appears at an atypical site or shows rapid growth, it can clinically resemble a malignant lesion. We report a case of a 24-year-old systemically healthy male who presented with a gradually enlarging overgrowth on the lingual aspect of the left mandibular region. The lesion had been increasing in size over six months and was associated with bleeding on brushing and difficulty in mastication and speech. Clinical examination revealed a 3 × 1.5 cm pedunculated soft tissue mass extending from teeth 34 to 38. Radiographic examination showed no underlying bone involvement. Initial non-surgical periodontal therapy was performed to reduce local inflammation, followed by complete surgical excision of the lesion. Histopathological examination confirmed the diagnosis of ulcerated pyogenic granuloma. Healing was satisfactory, and no recurrence was noted during the follow-up period. This case highlights the need to consider pyogenic granuloma even in atypical mandibular locations and emphasizes the importance of histopathological confirmation to rule out malignancy and ensure appropriate management