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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Squamous cell papilloma Keratoacanthoma Malignant: Am J Hum Genet. When traumatized, the lesion contain inflammatory infiltrate and ulcerated area will be covered with fibrin and organisms from the oral flora. It is more common in younger people and in females, and appears as a red-purple swelling and bleeds easily.

Peripheral fibroma, presenting as pink firm, uninflammed mass growing from under the gingiva; B: Conditioned gingival enlargement Hormonal: Oral mucosa — Lining of mouth. The gingiva appears red and edematous with diffuse shiny surface.

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

Cowden syndrome[ 31 ]. The presentation begins as slight ballooning of the papilla or marginal gingiva, depending upon the location of the irritant.

Decision tree for differential diagnosis of isolated, regional and generalized gingival enlargement. Primary tuberculous osteomyelitis of the mandible.

Abscess presenting as localized gingival enlargement. Andrews’ Diseases of the Skin: Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Plaque and calculus; B: The most common mechanisms in the development of soft epklis 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.


Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures. A rare case of gingival hyperplasia secondary to acute lymphoblastic leukemia has also e;ulis reported[ 39 ].

Views Read Edit View history. Most often the lesion is painless. The surface epithelium has varying degrees of intra- and extracellular edema, invasion by leukocytes, and sometimes ulceration. A frequent finding could be presence of firm bulky enlargement of gingiva restricted to maxillary and mandibular second and third molar areas only.

Gingival cysts Gingival cysts are unusual cysts of odontogenic source. Rutherfurd syndrome associated with Marfan syndrome. Ultrastructural investigation of Zimmermann-Laband syndrome. The cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the soft tissues.

Andrews’ Diseases of the Skin: It can be associated with signs and symptoms of bone marrow failure, such as ecchymoses, night sweats, recent infections and lethargy. Images hosted on other servers: The enlargement starts as beadlike enlargement of the interdental papilla and eventually may involve marginal gingiva. Abnormal fingers, nails, nose and ears, splenomegaly, hepatomegaly, hyperextensible metacarpophalangeal joints. Peripheral giant cell granuloma They occur particularly in anterior region in young patients or in posterior mouth during mixed dentition phase and in adults.


Reactive localised inflammatory hyperplasia of the oral mucosa.

Published by Baishideng Publishing Group Inc. An epulis granulomatosa is a granuloma which grows from an extraction socket the hole left after a tooth has been removedand as such can be considered to be a complication of healing after oral surgery. Dwarfism, flexion contractures, hernias, corneal clouding, macroglossia, short mandibular rami, peg-shaped teeth.

From Wikipedia, the free encyclopedia.

Pathology Outlines – Epulis

Although several authors reported cases of an epulis-like neoplasm, the collagenous fibroma desmoplastic fibroblastoma originated in the oral cavity; 111213 we agree with these authors that the collagenous fibroma is a rare entity, without signs of inflammation.

This systematic presentation would be very helpful for the clinicians to arrive at a particular diagnosis. Primary tuberculous gingival enlargement: Fibroepithelial polypspedunculated lesions of the palate beneath an upper denture, are associated with this condition. Epilis gingival enlargement epuls with leukemia is due to the massive infiltration of leukemic cells in the gingival connective tissue.