Granuloma periférico de células gigantes como lesión reactiva asociada a un implante dental. A propósito de un caso y revisión de la literatura

Resumen

lntroduction: The peripheral giant cell granuloma (GPCG) is a rare exophytic lesion of the oral cavity, whose appearance is usually associated with the natural tooth and whose etiology is related, among other factors, to the chronic effect over time of various local irritants. With the increasing use of dental implants, the appearance of this type of lesions in the peri-implant mucosa has been observed, which requires studying and understanding its etiology and evolution in order to guarantee the longevity of this type of rehabilitation. Clinical case: We present the case of a 41-year-old female patient, with no medical history of interest, referred to the Oral Surgery Department of the Hospital Virgen de la Paloma, which presents a sessile base tumor associated with an implant in position 47, of 1.2x0.6 cm, painless, firm consistency and non displaceable with congestive coloring. A total exeresis treatment of the lesion was carried out, sending the piece to histopathological study, after which the diagnosis of GPCG was obtained. Conclusions: lt is vital to maintain an exhaustive control of the various local factors that can be identified as irritants for peri-implant tissues, such as poor oral hygiene, among others, in order to prevent the appearance of injuries that could compromise survival and success of long-term implants.