EPULIS FIBROSA PDF

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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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Epulis fissuratum

Page views in Hence, plaque control epuliis an essential aspect of management in all the patients. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment.

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 elulis Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: The comparative effects of azathioprine and cyclosporin on some gingival health parameters of renal transplant patients.

It is a harmless condition and does not represent oral cancer. Open in a separate window. Gingival abscess, near gingival margin or papilla; B: Decision tree for differential diagnosis fibrpsa isolated, regional and generalized gingival enlargement.

Fibroma of the gingiva: J Oral Maxillofac Pathol. Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic fibrosz Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

Author information Article notes Copyright and License information Disclaimer. Sturge-Weber syndrome[ 32 ]. The biggest challenge as a clinician is arriving at a definitive diagnosis.

Squamous cell papilloma Keratoacanthoma Malignant: The patient had an uneventful postoperative recovery with minimal scarring.

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Secondary tuberculous ulceration of the tongue.

Gingival enlargements: Differential diagnosis and review of literature

A case of ameloblastoma presenting as an exophytic gingival lesion. Patients usually complain about burning sensation on eating hot and spicy food. The connective tissue was fat infiltrated Figure 3b. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.

Based on the existing knowledge and clinical experience, a differential diagnosis can be formulated. In these cases, it becomes difficult to associate duration of occurrence of enlargement with related drug history.

Gingival enlargements: Differential diagnosis and review of literature

Periodontal management of gingival enlargement associated with Sturge-Weber syndrome. Schinzel-Giedion syndrome[ 24 ]. Cross syndrome[ 23 ].

Gingival cysts are unusual cysts of odontogenic source. 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.

Periapical, mandibular and maxillary hard tissues — Bones of jaws. Phenotype and genotype in 17 patients with Goltz-Gorlin syndrome.

They can be differentiated from their location and vitality of the associated tooth. A greater number of these are found on the labial attached gingiva of the mandibular anterior teeth. N Engl J Med. Inflammatory gingival enlargement These are inflammatory response to local irritant associated with gingiva.

By using this site, you agree to the Terms of Use and Privacy Policy. Localized gingival enlargement—a diagnostic dilema. Palate Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus. Localized enlargements could be further divided into three sub-types, viz. A detailed decision tree is also designed for the practitioners, which will help them arrive at a diagnosis in a systematic manner.

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Frequent diagnosis in this category is inflammatory rather than neoplastic and may fall in one of the following group of reactive lesions: Oral cavity Congenital anomalies Epulis Author: Epithelium was hyperplastic acanthosis and partially ulcerated with deposition of a fibrinopurulent exudate. There still could be some lesions which may present in an unusual manner and make the diagnosis challenging.

Usually at the initial presentation there is no pain. Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

Also, their research found no marked difference in location of irritation fibroma between upper and lower jaws. It might bleed on provocation.

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: 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.

Hemangioma located in mandibular right quadrant; B: