Management of an unusual case of peripheral giant cell granuloma in the maxillary region of a 9-year-old dental patient

Peripheral giant cell granuloma is benign and an unusual lesion that is seen infrequently stemming from the dense irregular connective tissue of the periosteum or periodontal membrane, subsequent to a continuous irritation or persistent trauma of the specific area. Although this lesion has been reported to occur in every sort of age groups, however fifth and sixth decades are the most commonly affected stages of life according to certain documented researches with a small degree of female predisposition. Various clinicians have labeled repeated trauma at site of tumour, deficient oral hygiene and xerostomia as primary indicators which can be responsible for the lesion’s growth and development, that could lead the size of lesion exceeding 5 cm in diameter. The most successful therapeutic management of PGCG involve the surgical resection of the mass including the whole base with every bit of the tissue of the lesion and extinction of the causative determinants that will eventually prevent the recurrence of the lesion. The purpose of this article is to report unusual occurrence of PGCG in the maxillary arch of a 9-year-old male child and discuss the features leading to correct diagnosis and successful management.