| Introduction. Pyogenic granuloma or lobular hemangioma is the most common type of benign non-neoplastic inflammatory hyperplasia in the oral cavity. It behaves as a reactive tumor that responds to chronic low-grade irritative stimuli, whether traumatic, hormonal, or drugs-induced, such as cyclosporine, although its etiology remains unknown. Case Presentation. We present the case of a 55-year-old female patient who consulted for the presence of a gingival enlargement in the lingual keratinized gingiva of the dental organs 3.2, 3.3 and 3.4, compatible with the presumptive diagnosis of a pyogenic granuloma, confirmed by an anatomopathological and histological study. Discussion. After the review of the literature investigated, that the approach to this lesion should be individualized in each patient, taking into account the conditions presented. In addition, the correct identification of pyogenic granuloma as a lobular hemangioma is crucial.
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