Signs and Symptoms
- Appearance ranges from red/pink to purple
- Grows rapidly and can be smooth or mushroom-shaped
- Younger lesions are more likely to be red due to high number of blood vessels
- Older lesions change into a pink color
- Size commonly ranges from a few millimeters to centimeters
- Rapid growth
- Bleeding easily, even with minor trauma
- Red or pink appearance
- Surface ulceration
- Pain or discomfort, especially if located in a sensitive area

Associated Conditions
- Often associated with peripheral giant cell granuloma and peripheral ossifying fibroma
- Association is due to frequent occurrence on gingiva
- Detailed analysis can distinguish these conditions

Cause
- Caused by proliferation of capillaries
- Not caused by infection or cancer
- Trauma
- Hormonal changes
- Poor oral hygiene
- Inflammatory conditions
- Medications

Diagnosis
- Diagnosis can be based on appearance
- Biopsy may be performed for accurate diagnosis and to rule out malignant conditions
- Microscopic examination shows highly vascular granulation tissue and inflammation
- Clinical examination
- Medical history
- Imaging tests
- Differential diagnosis

Management
- Treatment may be considered due to bleeding or ulceration
- Common treatment methods include electrodesiccation and curettage, laser treatment, and topical application of beta-adrenergic antagonist timolol
- No treatment may be needed if the pyogenic granuloma occurs during pregnancy
- Recurrent bleeding may necessitate excision and cauterization
- Minor surgery and dental cleaning may be needed for oral lesions
- Surgical removal
- Cryotherapy
- Electrocautery
- Topical medications
- Prevention measures