Relative frequency of oral focal reactive overgrowths: An institutional retrospective study

Lakkam, Bhagirathi D; Astekar, Madhusudan; Alam, Shakir; Sapra, Gaurav; Agarwal, Ashwini; Agarwal, Aditi

doi:10.4103/jomfp.jomfp_350_19

Cited by 11 publications

(11 citation statements)

References 18 publications

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“…PGCG was the least common lesion in the present study, comprising 1.68% of all cases. The similar trend was observed in the previous studies [ 4 , 16 – 18 ]. By contrast, this differed from other studies where PG was reported as the most common lesion among all types of epulis [ 6 , 19 ].…”

Section: Discussionsupporting

confidence: 92%

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

et al. 2023

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Background To analyze the clinicopathological features of different histological subtypes of epulis, and evaluate the risk factors associated with recurrence. Materials and methods A retrospective study including 2971 patients was performed. The patients’ sex, age, location, size, histological subtypes, recurrence information, oral hygiene habits, periodontitis symptoms and smoking history were retrieved from the patient medical records and follow-up information. Results Among the 2971 cases, focal fibrous hyperplasia (FFH) was the most common lesion (60.92%), followed by peripheral ossifying fibroma (POF) (29.32%), pyogenic granuloma (PG) (8.08%) and peripheral giant cell granuloma (PGCG) (1.68%). The peak incidence of epulis was in the third and fourth decade of life, with a mean age of 45.55 years. Female predominance was found in all types of lesions with a female to male ratio of 1.71:1. PG had the highest recurrence rate (17.18%), followed by POF (12.98%), FFH (9.55%) and PGCG (8.82%). Histological subtypes were significantly correlated with the recurrence of epulis (P = 0.013). Regular supportive periodontal therapy (P = 0.050) had a negative correlation with recurrence, whereas symptoms of periodontitis (P < 0.001) had a positive correlation with the recurrence of epulis. Conclusions Controlling the periodontal inflammation and regular supportive periodontal therapy might help reduce the recurrence of epulis.

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Section: Discussionsupporting

confidence: 92%

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

et al. 2023

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“…Individuals with periodontal disease, salivary calculus, unsatisfactory restorations or other conditions that promote the accumulation of dental biofilm are more prone to the development of pyogenic granuloma in the gingiva 20 . In addition, chronic systemic diseases that are known to interfere with the health of periodontal tissues, such as uncontrolled diabetes mellitus, 21 may secondarily interfere with the development of more atypical pyogenic granulomas, as observed in the present report.…”

Section: Discussionsupporting

confidence: 69%

“…This process aims to eliminate local irritants and prevent the recurrence of the lesion. 5,8,20 Recurrence rates vary considerably among the analyzed cohorts, with up to 14.8% of all cases experiencing recurrence. 24 The primary…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the significance of periodontal treatment is emphasized, as meticulous scaling and root planning of the teeth proximal to the lesion are essential. This process aims to eliminate local irritants and prevent the recurrence of the lesion 5,8,20 . Recurrence rates vary considerably among the analyzed cohorts, with up to 14.8% of all cases experiencing recurrence 24 .…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and management of exuberant palatal pyogenic granuloma in a systemically compromised patient – Case report

Ventura,

Vogel,

Cortezzi

et al. 2023

Special Care in Dentistry

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AimTo discuss the diagnosis and treatment of an exuberant oral pyogenic granuloma (OPG) in the palatal region in a systemically compromised patient.Methods and ResultsA 50‐year‐old woman presented with extensive and painless nodular mass that extended throughout the palatal region, with difficulty speaking, swallowing and spontaneous bleeding for 6 months. Her medical history showed poorly controlled type II diabetes mellitus and hypertension. The intraoral physical examination also revealed poor oral hygiene and periodontal disease. After clinical and radiographic evaluation, the presumptive diagnosis of OPG was made and complete excision of the lesion was performed. Local hemostatic measures were employed to control bleeding. Microscopic evaluation showed a lobulated lesion composed of many blood capillaries confirming the diagnostic hypothesis.ConclusionsIn summary, individuals with severe periodontal disease and systemic disorders may present exacerbated clinical presentations of OPG.

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“…Oral Reactive Hyperplastic Lesions (ORHLs) are non-neoplastic hyperplasias that represent an escalated reparative response against low-grade longstanding local irritation (Gandhi et al, 2016). In many cases, these hyperplastic lesions may closely simulate neoplastic proliferations, placing a great challenge during the process of differential diagnosis (Lakkam et al, 2020). Being continuously exposed to a wide variety of stimuli, tissues of the oral cavity represent a common site for ORHLs, where dentists commonly face during routine examinations.…”

Section: Introductionmentioning

confidence: 99%

Oral Reactive Hyperplastic Lesions: Prevalence in Egypt and Proposal of Novel Classification System

Fathy,

Amer,

Khaled

et al. 2024

Preprint

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Background this study aimed to estimate the prevalence of oral reactive hyperplastic lesions (ORHLs) as well as their distribution in the oral cavity in the Egyptian population over the past 13 years. We also introduced a novel classification system for ORHLs that may help in standardized categorization and better understanding of the nature of these common oral lesions. Methods All the records of histopathologically diagnosed ORHLs over the past 13 years (2011 to 2023) were retrieved from the archives of Oral & Maxillofacial Pathology Department, Faculty of Dentistry, Cairo University. The extracted quantitative data was presented as frequencies and percentages of ORHLs. The proposed classification system has used 2 letters and 1 digit to describe ORHLs considering both the clinical appearance of the lesions as well as their characteristic histopathological patterns. Results ORHLs represented 33% of the total number of diagnosed cases in the tested period (2256/6858 cases). Among the examined types of ORHLs, irritational fibroma was the most encountered type (40%) followed by pyogenic granuloma (25%). Regarding anatomic location, gingiva was the most common site for ORHLs, where more than half of the cases (52%) were reported in it. Conclusion The present study clearly demonstrated the high prevalence of ORHLs as one of the most frequently encountered categories of oral pathology. This highlights the importance of the proposed standardized categorization and consistent description of these common oral lesions based on their clinical appearances and characteristic histopathological findings. This classification enhances the overall knowledge and understanding of ORHLs nature allowing effective communication among healthcare providers as well as accurate diagnosis, treatment planning, and research work.

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Relative frequency of oral focal reactive overgrowths: An institutional retrospective study

Cited by 11 publications

References 18 publications

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

Diagnosis and management of exuberant palatal pyogenic granuloma in a systemically compromised patient – Case report

Oral Reactive Hyperplastic Lesions: Prevalence in Egypt and Proposal of Novel Classification System

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