The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. Lesions are. For the purpose of clinical diagnosis, enlargements mentioned in this review are grossly are divided into isolated lesions (epulis) and regional or generalized. Fibroid mass in free gingiva, due to chronic gingival inflammation, pyogenic granuloma or other causes; May calcify or ossify. Terminology.

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Support Center Support Center. The base was evacuated and the bone thoroughly curetted, and the healthy gingiva was sutured over it. Calcium channel blockers[ 15 ].

Pathology Outlines – Epulis

Heterogeneity in gingival fibromatosis. Amelogenesis imperfecta associated with dental follicular-like hamartomas and generalised gingival enlargement.

Subsequently, after detailed investigation, clinician makes a final diagnosis or diagnosis of exclusion. They can be differentiated from their location and vitality of the associated tooth.

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Epulis fissuratum

Furthermore, in some cases where gingival enlargement could be the primary sign of potentially lethal systemic diseases, a correct diagnosis of these enlargements could prove life saving for the patient or at least initiate early treatment and improve the quality of life.

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Enlargement of skull, corneal opacities, short peg-shaped poorly formed teeth, hypertrophy of alveolar ridges, anterior open bite. Formed completely by underlying bone. Differential diagnosis of gingival enlargement requires thorough dental and medical history, careful evaluation of the type, nature and extent of enlargement and identification of etiologic or predisposing factors.

Massive fibrous epulis—a case report of a year-old lesion

Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures Cementicle Cementoblastoma Gigantiform Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival fibromatosis Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.

Mass protruding from mouth. This page was last edited on 22 Mayat It may present as a specific entity or as a part of syndrome.

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Fibrous inflammatory hyperplasias may occur on any surface of the oral mucous membrane as either pedunculated or sessile growth. This is a fibrous hyperplasia of excess connective tissue folds that takes place in reaction to chronic trauma vibrosa an ill fitting denture. World J Epulls Cases. A conservative surgical excision with gingival recontouring was preferred because of the absence of bone invasion and the obviously aggressiveness of the classical surgery.


Costello syndrome[ 25 ]. It can be associated with signs and symptoms of bone marrow failure, such as ecchymoses, night sweats, recent infections and lethargy.

Typical multiple interproximal enlargements in a pregnant patient. Periapical, mandibular and maxillary hard tissues — Bones of jaws. Accepted Aug Ottawa; Canadian Institute for Health Information; A case of Schinzel-Giedion syndrome complicated with progressive severe gingival hyperplasia and progressive brain atrophy.

They are frequently friable and soft with a smooth shiny surface and they usually bleed easily. Fibrous epulides are firm and rubbery, and pale pink in color. The fibrous epulis usually appears in the interdental papilla as the result of local irritation calculus, bacterial plaque, caries or restorations with irregular margins. Gingival cysts in the adult.

These findings were suggestive of a reactive localized inflammatory hyperplasia consistent with a fibrous epulis. They are very aggressive lesions with significant growth potential. May 13, Article in press: