Resolving Functional Impairment from a Pregnancy Tumor in the Third Trimester
A Case for Laser Surgery
Abstract
This case report describes a 21-year-old female in her third trimester of pregnancy who presented with a one-month history of a bleeding gingival growth causing difficulty in chewing. Clinical examination revealed a 2x3 cm, pedunculated, deep red mass on the mandibular anterior gingiva, consistent with a pregnancy tumor (pyogenic granuloma). The lesion was successfully excised using a diode laser under local anaesthesia without vasoconstrictors, ensuring minimal bleeding and optimal patient safety. Histopathological examination confirmed the diagnosis of pyogenic granuloma. The case highlights the impact of hormonal changes on oral health in pregnancy and demonstrates the efficacy and safety of diode laser surgery as a treatment modality for managing such reactive lesions during gestation, providing immediate relief with excellent postoperative outcomes.
References
2. Sarwal P, Lapumnuaypol K. Pyogenic Granuloma. [Updated 2024 Sep 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025
3. Chikkaboraiah S, Puttaswamaiah RN, Galgali SR. Pregnancy Tumor. Journal of Health Sciences & Research. 2016 Dec 1;7(1):23-7.
4. Alshuhail O, Alharbi AS, Alakeel N, Alakeel NS. A Persistent Oral Pyogenic Granuloma: A Case Report With Review of Literature. Cureus. 2023 Nov 24;15(11).
5. Kaleeny JD, Janis JE. Pyogenic granuloma diagnosis and management: a practical review. Plastic and Reconstructive Surgery–Global Open. 2024 Sep 1;12(9):e6160.
6. Sachelarie L, Iman AE, Romina MV, Huniadi A, Hurjui LL. Impact of hormones and lifestyle on oral health during pregnancy: a prospective observational regression-based study. Medicina. 2024 Oct 30;60(11):1773.
7. Lomeli Martinez SM, Carrillo Contreras NG, Gómez Sandoval JR, Zepeda Nuño JS, Gomez Mireles JC, Varela Hernández JJ et al. Oral pyogenic granuloma: a narrative review. International journal of molecular sciences. 2023 Nov 28;24(23):16885.
8. Sharma A, Mathur VP, Sardana D. Effective Management of a pregnancy tumour using a soft tissue diode laser: a case Report. Laser Therapy. 2014;23(4):279-82.
9. Al-Otaibi LM, Al-Ali MM, AlOtaibi LM, AlALi MM. The use of diode laser for the surgical removal of pyogenic granuloma of the dorsum of the tongue: a case report. Cureus. 2023 Sep 12;15(9).
10. Shivhare P, Haidry N, Sah N, Kumar A, Gupta A, Singh A et al. Comparative evaluation of efficacy and safety of the diode laser (980 nm) and sclerotherapy in the treatment of oral vascular malformations. International Journal of Vascular Medicine. 2022;2022(1)
