The pyogenic granuloma is a proliferative non-neoplastic lesion, common in the mouth and secondary to local irritative factors such as trauma and poor oral hygiene. Even though this lesion does not represent diagnosis and therapeutical problems in most of the cases, these objectives can become complex to be accomplished in disabled patients that demand special care. The aim of this report is to present a case of gingival PG in a patient with severe phono-audio-visual deficiency in which his disabled condition made the diagnosis harder to be defined and treatment not possible by local anesthesia
