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Peripheral Giant Cell Granuloma Associated With Residual Cement and Periimplantitis: A Case Report

Yasemin Sezgin, Emine Elif Alaaddinoglu, Mehtap Bilgin Cetin and Eda Yilmaz Akcay

Residual cement in cement retained restorations, poses a problem which cause peri-implant disease. Peripheral giant cell granuloma (PGCG) is a reactive and exophytic lesion occurring on the gingiva and alveolar ridge. Although PGCG is the most common giant cell lesion of the jaws, there is little data in the literature regarding the prevalence of reactive lesions associated with dental implants. The purpose of this paper is to report a rare case which a PGCG was found in association with excess cement around a dental implant and to discuss its etiology and management. After completion of phase 1 periodontal therapy, the lesion was excised surgically. The residual cement that were detected on the buccal aspect of the implant were removed, bony defect was debrided and platelet rich fibrin membrane placed around the implant. The fixed prosthesis was cemented by paying attention to remove residual cement. No evidence of recurrence and complications were seen over 18 months of follow up.