SCLEROTHERAPY AS AN ALTERNATIVE THERAPY FOR RELAPSING PYOGENIC GRANULOMAS: LITERATURE REVIEW AND CLINICAL CASE REPORT

Abstract

Pyogenic granuloma is a common non-neoplastic proliferative lesion in the oral mucosa, characterized by an exaggerated inflammatory response to specific stimuli, such as trauma and local irritation. Although benign, pyogenic granuloma may relapse frequently, especially when predisposing factors are not specifically eliminated. The objective of this study was to report the case of a 29-year-old male patient with a recurrent lesion in the anterior region of the maxilla, presenting as pyogenic granuloma after histopathological examination. After two relapses, an alternative treatment using sclerotherapy with ethanolamine oleate (Ethamolin®) was proposed, resulting in a significant regression of the lesion with no signs of recurrence in a 2-month follow-up period. It is worth mentioning that this technique offers an effective and less invasive option for the treatment of vascular lesions, especially in cases of recurrence or aesthetic location.