Pyogenic granuloma is more prevalent in children and young adults6. Most studies have shown that this lesion occurs predominantly in women. It is probably due to influences of female hormones on blood vessels7.
Hormonal changes during puberty and pregnancy possibly transform the gingival reparative response to injury, leading to growth of a lesion in pregnancy period, which is called Granuloma Gravidarum, gestational tumor or pregnancy tumor8.
Pyogenic granuloma involves the gingiva most frequently and presents as a nodular growth which may be slow growing or rapid in nature2,3.
Owing to the existence of hyperplastic granulation tissues which contain lots of capillaries, it appears as a red mass9. The lesion exhibits smooth or lobulated surface with sessile or pedunculated base. Bleeding occurs frequently 3,10