Treatment of Pyogenic Granuloma in the Oral Cavity

A pyogenic granuloma is a fragile red or purple growth made of closely packed small blood vessels. In the mouth it may arise on the gums, tongue, inner cheek or lip and can bleed during brushing, eating or light contact. Local irritation, trauma or hormonal changes may contribute. Because other oral growths can look similar, a dentist, oral surgeon or dermatologist should examine it rather than relying on appearance alone.

The clinician first identifies the location, size, bleeding pattern and possible source of irritation, such as a sharp tooth, dental appliance or repeated biting. Removal may use [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/), which scrapes away the lesion and treats the base to help control bleeding. Keep the area clean, follow eating and brushing instructions, and avoid picking or repeatedly testing the growth. The removed tissue may be assessed when the clinician considers that appropriate.

Arrange an oral examination for a growth that bleeds easily, enlarges, ulcerates or interferes with chewing. Seek urgent help for bleeding that does not stop with steady gentle pressure, difficulty breathing or swallowing, rapidly increasing swelling, or signs of infection such as fever and worsening pain. A recurrent lump needs review because the original irritant may remain or the diagnosis may need reconsideration.

Ask what may be irritating the area, which removal method is suitable, how to manage bleeding afterward, whether the tissue will be examined, and what symptoms should prompt an earlier review. Tell the clinician about pregnancy, blood-thinning medicines and any bleeding tendency before the procedure.