A volumetric assessment and follow-up of a granuloma gravidarum in the anterior maxilla

Int J Comput Dent. 2020;23(4):387-396.

Abstract

Aim: Granuloma gravidarum (GG) is a benign lesion of the soft tissue. The aim of this technical note is the volumetric assessment and follow-up 3D measurement of a GG in the anterior maxilla.

Materials and methods: A 35-year-old female patient who was 7 months pregnant was referred due to a soft tissue tumor in the papilla of tooth 21. A biopsy verified a pyogenic granuloma gravidarum. Initial and consecutive volumeatric measurements were made with an intraoral scanner during the patient's pregnancy and until 16 months postpartum.

Results: The volumetric assessment showed a continuous growth of the tumor and a consecutive volume reduction 16 months postpartum. In comparison with the level of the papilla of the contralateral incisor, there was an almost complete remission at the last follow-up.

Conclusion: Intraoral scans can serve for the volumetric assessment of soft tissue tumors of the alveolar crest. Image superimposition enables the quantification of changes in morphology. This supports clinical follow-ups and enables the quantification of clinical observations.

Keywords: epulis gravidarum; granuloma gravidarum; intraoral scanner; pregnancy; pyogenic granuloma; volumetric measurement.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Granuloma, Pyogenic*
  • Humans
  • Incisor
  • Maxilla
  • Pregnancy