The aide plans to be utilized by all dental specialists and specialists who carry out surgeries of oral and maxillofacial regions in Japan, including the overall experts and those working at general clinics, clinical and dental school emergency clinics. Regardless of whether or not anesthesia is used, the guide is applicable to all oral and maxillofacial surgery procedures, including tooth extraction, trauma, infection, tumor, inflammation, and congenital and acquired morphological abnormalities. This guide is not an evidence-based treatment guide because there is a lack of evidence on many aspects of COVID-19.Instead; they offer a summary of the data as well as suggestions that are based on data that the Japanese Society of Oral and Maxillofacial Surgeons gathered through extensive research. Pyogenic granulomas and other gingival reactive lesions are fairly common in the gingiva of natural teeth, but they are uncommon in dental implants. Additionally, the size of these lesions is relatively small. A comprehensive literature review on implant-associated PG and a large PG that was observed in conjunction with a dental implant are presented in this case report. A 66-year-old woman presented to our department with a pedunculated lesion on the buccal and lingual gingiva surrounding the left mandibular second molar dental implant that was smooth and slightly red. On panoramic radiographs and cone-beam computed tomography, horizontal alveolar bone loss around the dental implant was observed. A biopsy was taken, and PG was diagnosed by histopathology. Under local anesthesia, the lesion was completely resected, and the implant surface was curetted. After one year of follow-up, the patient had no PG recurrence.

With Regards,
Sara Giselle
Associate Managing Editor
Journal of Medical Physics and Applied Sciences