Epulis

What is epulis?

Epulis literally means the gums and is a non-specific term used for tumors and tumor-like masses of the gums (gums). There are several lesions or growths of the gums that are known as epulis, however, their clinical characteristics are unique and must be discussed as individual disease entities.

Epulis fissuratum

Why does epulis fissuratum occur?

Epulis fissuratum is also known as inflammatory fibrous hyperplasia, false teeth and false hyperplasia induced by false teeth. Fibrous overgrowth is caused by chronic Irritation of the denture flange (edge) against the area where the gums meet the inner cheek (alveolar vestibular mucosa). Because the bone underneath the denture constantly changes due to bone loss, the bone support for the base of the denture becomes unstable, resulting in poorly fitting dentures and epulis fisuratum.

Who gets epulis fissuratum?

The condition is more common in the elderly as the need for a prosthesis increases with age. However, today it is becoming a lesser problem, since dental technology to maintain and restore teeth is much more advanced. The condition appears to be more common in women than men.

What are the signs and symptoms?

Lesions formed from excess tissue are usually firm, fibrous, and pink. A part of the injury It is located under the denture while the rest protrudes from the cheek area. The internal and external parts of the lesion are separated by a deep groove in which the denture flange is located. Sometimes the irritation can be severe enough to cause redness and ulceration, particularly at the bottom of the groove where the denture rests.

How is epulis fissuratum treated?

Epulis fissuratum lesions can be surgically cut. Although it is very rare that these lesions are associated with oral administration scaly cell carcinomaAs a precautionary measure, the removed lesion should be sent for microscopic tests.

In addition to removing injuries, dentures should be modeled to fit snugly against the gums to prevent further irritation and development of epulis fissuratum.

Giant cell epulis

Why does giant cell epulis occur?

Giant cell epulis is also known as peripheral giant cell granuloma, repairing giant cell granuloma, osteoclastoma, and myeloid epulis It is unclear why giant cell epulis lesions occur, but it may be a response to the injury. Furthermore, many cases have cells that express surface receptors for estrogen, which has led to speculation that hormonal influences may play a role in its development.

Who gets giant cell epulis?

Giant cell epulis can occur at any time, although it appears to be diagnosed more frequently between the ages of 40 and 60. In adults it occurs mainly in women.

What are the signs and symptoms?

Lesions are often fibrous and present as gingival emerging bump between two teeth. The lesion grows rapidly and can exceed 4 cm in diameter, but most remain below 2 cm. It can develop into an irregular red fleshy mass that can ulcerate or bleed. Sometimes the giant cell epulis can invade the underlying bone.

How is giant cell epulis treated?

Treatment involves surgical excision of the injury and curettage of any underlying bone defect. Affected teeth may also need to be extracted or climbing and root planing performed. A reappearance A rate of 10% or higher has been reported and a further excision may be required.

Congenital epulis

Why does congenital epulis occur?

Congenital epulis is also known as congenital granular cell myoblastoma, childhood granular cell epulis, and granular cell fibroblastoma. It is unclear why congenital epulis occurs, but it is believed that they originate from primitive mesenchymal cells of neural crest origin.

Who gets congenital epulis?

This is a rare congenital condition that appears at birth. It occurs much more commonly in women than in men with an 8: 1 ratio.

What are the signs and symptoms?

Babies are usually born with a mass that protrudes from the mouth. The injury is found almost exclusively in the previous alveolar ridges of the newborn. Multiple lesions may be present in 10% cases. The lesions can vary from 0.5 to 2 cm in size, and in rare cases reach up to 9 cm. The injury is mild. pedunculated and sometimes lobed nodule of the alveolar mucosa.

If the epulis is too large, it can interfere with breathing and eating.

How is congenital epulis treated?

Most epulis tend to recede and disappear spontaneously during the first 8 months of life. Therefore, if the injury is small, there may be no need for treatment. Larger lesions that may interfere with breathing or eating may need to be surgically removed. Carbon dioxide To be It has been used successfully to remove large lesions. No recurrences of epulis have been reported and the residual remains do not seem to interfere with the tooth. eruption.