Soft-tissue growths of the oral cavity offer a diagnostic dilemma because of the pathologic processes produced by such lesions. Pyogenic granuloma (PG) is one such soft-tissue swelling that originates from the reactive inflammatory course in which an exuberant fibrovascular expansile growth of the connective tissue of the skin or mucous membrane occurs. This case report documents a rare case in which the size and the site of the PG were different from the usual. The treatment included the extraction of the involved tooth in addition with the surgical removal of the lesion. The present case report demonstrates that the treatment of choice varies according to individual case after the adequate analysis of clinical and radiographic findings and should be managed appropriately to minimize further reoccurrence of the lesion and postsurgical complications.
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