Abstract
Background: Pyogenic granuloma (PG) is thought to represent an exuberant tissue response to local irritation or trauma. Clinically, this lesion appears as a painless tumor that easily bleeds, is red in color, and rarely may be associated with periodontal abscess and bone loss. In the oral cavity, PG lesions are predominantly found in the gingiva, with extra-gingival occurrences are rare. Diagnosis and differentiation from other oral pathological lesions can only be achieved through clinical examination and histopathological tissue biopsy. The standard treatment is surgical excision; however, incomplete surgical removal may lead to a risk of recurrence. Case Presentation: We report a 15-year-old adolescent male with a painless, exophytic lesion on the hard palate that developed over two months. Clinical and histopathological evaluation confirmed the diagnosis of pyogenic granuloma. Surgical excision was performed under local anesthesia, followed by a 26-day postoperative follow-up, which showed complete healing without recurrence. Conclusion: This case highlights an unusual presentation of pyogenic granuloma in an extragingival site (hard palate) in an adolescent, emphasizing the importance of considering PG in the differential diagnosis of palatal lesions and ensuring complete surgical removal to prevent recurrence.