Giant fibrous epulis

Dabholkar, Jyoti; Vora, Krishna; Sikdar, Abhik

doi:10.1007/s12070-008-0022-0

Cited by 3 publications

(10 citation statements)

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“…2,6,7 Though these characteristics are consistent with our case, report of a fibrous epulis with this size 8,9,10 or long evolution are unusual. 7 …”

Section: Discussionsupporting

confidence: 91%

Massive fibrous epulis—a case report of a 10-year-old lesion

Fonseca

Cantín

2013

Int J Oral Sci

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The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. Lesions are asymptomatic and have a variable growth rate. A 75-year-old woman was referred for the evaluation of a large painless gingival mass. It had started 10 years back and has been increasing in size the last year. No bone involvement was noted. The tumor was totally removed by excision with surgical scalpel under local anesthesia without teeth extraction. The microscopic findings were suggestive of a fibrous epulis. Differential diagnosis, clinical considerations and factors to prevent recurrence are discussed.

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“…2,6,7 Though these characteristics are consistent with our case, report of a fibrous epulis with this size 8,9,10 or long evolution are unusual. 7 …”

Section: Discussionsupporting

confidence: 91%

Massive fibrous epulis—a case report of a 10-year-old lesion

Fonseca

Cantín

2013

Int J Oral Sci

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“…The common variety of epulis often arises from the interdental papilla. 6 The etiology of the fibrous epulis in this case may be the subgingival calculus, as the chronic irritating factor, at the distal part of the crown. As suggested by Peralles et al, 7 other possible etiology of this lesion is local tissue irritation by bacterial agents and cellular debris at the distal aspect of the lower right third molar which induced hyperplasia of the pericoronal tissue.…”

Section: Discussionmentioning

confidence: 85%

“…Epulis usually occur as a result of gingival hyperplasia due to local irritation of the gums. 6 Fibrous inflammatory hyperplasias, if located on the gingiva often referred as epulis. 4 Epulises are lesions which do not give pain, however, their presence causes difficulties in chewing and eating.…”

Section: Discussionmentioning

confidence: 99%

“…7 Treatment of epulis involves excision with gingival recontouring and removal of the source of irritation is done to prevent recurrence. 6 This patient was treated with surgical excision of the epulis and removal of the impacted lower third molar because its position predispose to calculus formation, which may be the most irritating factor in this case, and the increased concentrations of bacterial agents can cause chronic irritation inducing hyperplasia of the pericoronal tissue.…”

Section: Discussionmentioning

confidence: 99%

“…4 Fibrous epulis in adults occurs due to chronic irritation or trauma, due to factors such as dentures, a carious tooth, faulty restorations, and subgingival calculus. 5,6 Removal of any irritating factors and excision is the usual treatment. These lesion, however may recur if the lesion is not excised totally.…”

Section: Introductionmentioning

confidence: 99%

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Fibrous epulis associated with impacted lower right third molar

Sumarta

Kamadjaja

2009

Dent. J. (Majalah Kedokteran Gigi)

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absractBackground: Epulis or epulides are lesions associated with gingival tissues. Fibrous epulis is a type of hyperplastic fibrous tissue mass located at the gingival which is slow growing, painless, having same color as the oral mucosa and firm on palpation. Anterior regions of the oral cavity are the frequently affected sites as these areas are more prone to be affected by calculus deposition and poor plaque control due to frequent teeth malposition. Removal of any irritating factors and excision of the lesion are the usual treatments. Purpose: This case report presents a rare case of fibrous epulis which occurred in the posterior region of the oral cavity and associated with impacted lower third molar. Case: A case of fibrous epulis at the lower right third molar area of three months duration is presented. The mass was slow growing, painless and on examination it was a pedunculated mass overlying the unerupted lower right third molar, having same color with the oral mucosa and firm on palpation. Clinically, the lesion was diagnosed as fibrous epulis associated with impacted lower right third molar. Case management: The treatment were surgical excision of the epulis and removal of the lower right third molar. The histopathology result showed tissue with squamous epithelial lining, achanthotic fibrous connective tissue, mononuclear inflammatory cells and few capillaries without signs of malignancy. This is consistent with the diagnosis of fibrous epulis. Conclusion: Fibrous epulis, although frequently occurred at the anterior region of the oral cavity, may rarely grow at the area of lower third molar. This phenomenon supports the theory that epulis can grow on any surface of oral mucous membrane as long as local irritants are present.

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Penatalaksanaan Epulis Fibromatosa dengan Electrosurgery (Laporan Kasus)

Suwandi

2021

JKGT

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Background : Epulis is a tumor-like enlargement of the gingiva originating from periodontal connective tissue, which is caused by chronic irritation. Epulis that occurs on the upper anterior teeth will interfere with the aesthetics and function of the lips and reduce self-confidence, thus treatment is deemed necessary. Objective : To evaluate the results of fibromatous epulis treatment using electrosurgery. Case report and management : A 25 year old woman came to the practice with complaints of enlarged gums in the upper front area since 6 months ago. The gum was painful when biting food, and bleed easily during tooth cleaning and brushing. Epulis Fibromatosa treatment was initiated with plaque control, scaling and application metronidazole gel. One week later, the epulis was excised with electrosurgery under local anesthesia. In one week evaluation, the patient had no pain or swelling. Clinical examination showed no residual epulis, marginal gingiva 21 was slightly reddish, and the healing process was going well. The results of the pathology examination showed that the surface covered by stratified squamous epithelium, areas appear erosive and ulcerative, also known as chronic inflammation and no malignancy is found, therefore the diagnosis is Fibromatous Epulis. Patient was instructed to maintain oral health and avoid using toothpicks and are advised for orthodontic treatment. Conclusion : The treatment of Epulis Fibromatosa shows good results with electrosurgery

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Giant fibrous epulis

Cited by 3 publications

References 0 publications

Massive fibrous epulis—a case report of a 10-year-old lesion

Massive fibrous epulis—a case report of a 10-year-old lesion

Fibrous epulis associated with impacted lower right third molar

Penatalaksanaan Epulis Fibromatosa dengan Electrosurgery (Laporan Kasus)

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