• Posted on November 21, 2020
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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.

Drug influenced gingival overgrowth. Gingival enlargement or gingival overgrowth, a common trait of gingival disease, tibrosa characterized by an increase in the size of gingiva. Severe mid face retraction, severe mental retardation and congenital heart defect, patient usually die under 10 yr of age. It usually begins with the eruption of the primary or permanent dentition.

Drug induced gingival enlargement. Birth Defects Orig Artic Ser. Analysis of the surgical specimen. Collagenous fibroma desmoplastic fibroblastoma of the oral cavity. Am J Hum Genet. East Afr Med J. It is usually a pedunculated lesion in the incisor region.

Neoplastic The localized epulis like lesions can also be classified as being benign or malignant. Fibrous inflammatory hyperplasias may occur on any surface of the oral mucous membrane as either pedunculated or sessile growth. Bleeding may occur spontaneously or on slight irritation. Localized enlargements could be further divided into three sub-types, viz.

Epulis – Wikipedia

The color is reddish and involves almost complete attached gingiva and slightly granular appearance. A case of Schinzel-Giedion syndrome complicated with progressive severe gingival hyperplasia and progressive brain atrophy.

Periapical abscess, near apex of concerned tooth; D: This systematic presentation would be very helpful for the clinicians to arrive at a particular diagnosis. Table 2 Gingival enlargement associated with syndromes in different types of genetic disorders. The most fiibrosa presentation consists of pulmonary infiltration and hilar lymphadenopathy, fibroza and ocular lesions[ 42 ], however oral involvement is uncommon. Tumor composed of cells having abundant granular eosinophilic cytoplasm with monomorphic vesicular nuclei with inconspicuous nucleoli.

This page was last edited on 22 Mayat Lesions are asymptomatic and have a variable growth rate. The gingiva, of vitamin C deficiency associated enlargement, is bluish red, soft and friable with a smooth, shiny surface. If the causative factor persists, tissue will become more fibrous over time.

Gingival enlargements: Differential diagnosis and review of literature

Table 1 Different drugs known to predispose to gingival enlargements. It was firm in consistency, irregular surfaced, pedunculated, and did not bleed when touched.

Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. Fibtosa biggest challenge as a clinician is arriving at a definitive diagnosis. It had started 10 years back and has been increasing in size the last year.

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Capillary hemangiomas, increased size of lips, tongue, teeth malformations, delayed exfoliation of teeth, calcified roots.

Removal of hyperplastic lesions of the oral cavity. Neimann-Pick disease[ 28 ]. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities. Sometimes the term epulis is used synonymously with epulis fissuratum, [2] but this is technically incorrect as several other lesions could be described fiborsa epulides. Oral and maxillofacial pathology Spulis, K11—K14—, — The comparative effects of azathioprine and cyclosporin on some gingival health parameters of renal transplant patients.

The diagnosis is made clinically, and usually this is clear cut if the lesion is associated with the flange of a denture. Jones syndrome[ 21 ]. Klippel-Trenaunay syndrome[ 33 ]. On microscopic examination, the lesion appeared densely fibrous with inconspicuous proliferating fibroblasts and moderate lymphoplasmacytic infiltrate and vascular dilatation.

Fibrous epulides are firm and rubbery, and pale pink in color.

Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus. Gingival enlargement unveiling sarcoidosis: It may be sessile or pedunculated and is composed of fibrosed granulation tissue.

Five-micrometer sections were obtained and submitted for routine hematoxylin—eosin staining.

Most often the lesion is painless. By using this site, you agree to the Terms of Use and Privacy Policy. Images hosted on PathOut server: Sign up for our Email Newsletters. The enlarged gingiva usually is soft and friable, bright red or magenta, with a smooth, shiny surface.

On rare occasion, it may arise on the tongue, or be multifocal. Articles which use infobox templates with no epuliz rows Infobox medical condition new.