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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. 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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Gingival condition in patient with Wegenersgranulomatosis, presents as reddish purple, exophytic gingival overgrowth. Pain may be associated due to secondary traumata via brushing, flossing or chewing.

Sometimes the term epulis is used synonymously with epulis fissuratum, [2] but this is technically incorrect as several other ribrosa could be described as epulides.

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Epulis – Wikipedia

This page was last edited on 31 Decemberepuliis Gingival abscess, near gingival margin or papilla; B: A retrospective study on cases”. Meshwork of delicate blood vessels.

Images hosted on other servers: Table 2 Gingival enlargement associated with syndromes in different types of genetic disorders.

Among commonly encountered drug induced gingival enlargement DIGOthose due to immunosuppressive agent like cyclosporine, appear more vascularized than phenytoin induced[ 17 ]. Cobblestone papules of gingiva and buccal mucosa, macrocephaly, multiple hamartomas, learning disabilities, autism.


The presentation begins as slight ballooning of the papilla or marginal gingiva, depending upon the location of the irritant. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.

The enlarged gingiva usually is soft and friable, bright red or magenta, with a smooth, shiny surface. Cross syndrome[ 23 ]. 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.

It is a harmless condition and does not represent oral cancer. Epithelium was hyperplastic acanthosis and partially ulcerated with deposition of a fibrinopurulent exudate. Benign lymphoepithelial lesion Ectopic salivary gland tissue Frey’s syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: A histopathological and immunohistochemical study of pathological ossification in epulis osteoplastica.

Typical multiple interproximal enlargements in a pregnant patient. Frequent diagnosis in this category is inflammatory rather than neoplastic and may fall in one of the following group of reactive lesions: Desmoplastic epuliw collagenous fibroma: The mass had started insidiously 10 years back and has been progressively increasing in size the last year.

Pathology Outlines – Fibroid epulis

The gingiva is pink, firm and almost leathery in consistency, with a characteristic minutely pebbled surface. The most common mechanisms in the development of soft tissue tumor-like lesion in the oral cavity included reactive hyperplasia and neoplasia, and the majority of localized overgrowths are considered to be reactive rather than neoplastic in nature.


Orofacial soft tissues — Soft tissues around the mouth. February 2, First decision: Abstract The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. The diagnosis of these lesions is essential for their successful management and of the patient as a whole. This highly vascular lesion is characterized by purplish red-color and its tendency to bleed. Pertinent management depends on precisely diagnosing the origin of enlargement.

Oral and maxillofacial pathology K00—K06, K11—K14—, — Oral complications associated with D-penicillamine treatment for Wilson disease: Periodontal management of gingival enlargement associated with Sturge-Weber syndrome. This is a fibrous hyperplasia of excess connective tissue folds that takes place in reaction to chronic trauma from an ill fitting denture.

Macrostomia, redundant skin of neck, hands and feet, nasal and perioral papillomas, enlargement within fibross years of life. A diagnostic feature of this type of enlargement would be presence of significant enlargement in maxillary and mandibular anterior regions and no involvement of posteriors.