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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Usual allergens known to be associated with this lesion could be, e. Although considered as inflammatory, the exact mechanism of enlargement in mouth breathers is not clear.

Clinical they may appear bluish or deep red. February 2, First decision: Gingival cysts Gingival cysts are unusual fjbrosa of odontogenic source. Often the pericoronal flap covering distal most mandibular teeth might become inflamed and swollen. N Engl J Med. Neimann-Pick disease[ 28 ].

Pathology Outlines – Epulis

J Oral Maxillofac Pathol. Most often the lesion is painless. It can be associated with signs and symptoms of bone marrow failure, such as ecchymoses, night sweats, recent infections and lethargy. Presence of local irritants plaque and calculus could be primary or associated cause of gingival enlargements.

fiibrosa Ultrastructural investigation of Zimmermann-Laband syndrome. Tian YL L- Editor: Sign up for our Email Newsletters. It may be sessile or pedunculated and is composed of fibrosed granulation tissue. From Wikipedia, the free encyclopedia.

It will be absent in edentulous areas and will disappear in areas where teeth are extracted. Inflammatory gingival enlargement These are inflammatory response to local irritant associated with gingiva. Oral complications associated with D-penicillamine treatment for Wilson disease: Diagnosis of sarcoidosis is mainly based on exclusion of other non-caseating granulomas forming conditions and other laboratory tests[ 4243 ].


Accepted Aug The most common presentation consists of pulmonary infiltration and hilar lymphadenopathy, dermal and ocular lesions[ 42 ], however oral involvement is uncommon. The epithelial cells are usually hyperkeratotic and irregular, hyperplastic rete ridges are often seen.

Fibrous epulis and its subtypes. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Spulis 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.

Differential diagnosis, Gingival hyperplasia, Gingival overgrowth, Gingival diseases, Decision tree. Diabetes, stress and smoking are the commonly labeled factors leading to mild vitamin C deficiency. In some cases, the dentist may be the first health care professional to detect this oral lesion.

Gingival enlargements: Differential diagnosis and review of literature

A clinicopathological study of cases. This systematic presentation would be very helpful for the clinicians to arrive at a particular diagnosis. There was no evidence of ossification or calcified structures. These findings fibroza suggestive of a reactive localized inflammatory hyperplasia consistent with a fibrous epulis. It is also called Neumann’s tumor. Cawson’s essentials of oral pathology and oral medicine 8th ed.

J Oral Surg Chic ; Reactive lesions of the gingiva. Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: More commonly, gingival disease manifests as regional or generalized gingival enlargement, which might fall into one of the different types.


The enlargement starts as fibrosq enlargement of the interdental papilla and eventually may involve marginal gingiva.

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Alveolar bone is rarely affected, but presence of pseudo-pockets and difficulty in maintaining oral hygiene may lead to some periodontal problems. Please review our privacy policy. It usually occurs in the mandibular labial sulcus. From Wikipedia, the free encyclopedia. When patients are in combination therapy, in which two or more drugs are known to cause gingival enlargement, then, fibeosa should be attributed to the diagnosis of DIGO, is a puzzle.

Also presence of bony trabeculae was seen histologically.

Table 2 Gingival enlargement associated with syndromes in different types of genetic disorders. Signs and symptoms related to gingival enlargement are seen within mo of initiation of drug intake.

In these cases, it becomes difficult to associate duration of occurrence of enlargement with related drug history. Teeth pulpdentinenamel.

Granular-cell myoblastoma of the oral cavity. 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.