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Murdiastuti, K., & Salma Nurbaiti, M. (2022). Management of Fibrous Epulis of Anterior Maxillary Teeth: A Case Report of a 1.5-Year-Old Lesion. KnE Medicine, 2(1), 333-342. https://doi.org/10.18502/kme.v2i1.10866

https://doi.org/10.18502/kme.v2i1.10866

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authors

  • Kwartarini Murdiastuti

    Kwartarini Murdiastuti

    Department of Periodontology, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
  • Mentari Salma Nurbaiti

    Mentari Salma Nurbaiti

    Periodontic Specialist Program, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia

Published Date

  • Apr 25, 2022

Management of Fibrous Epulis of Anterior Maxillary Teeth: A Case Report of a 1.5-Year-Old Lesion

KnE Medicine / The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar / Pages 333-342

Abstract

Background: Epulis is a gingival hyperplasia (tumor-like) that originates from periodontal connective tissue. It can be caused by many factors such as a chronic local irritation. Epulis that grows on the anterior maxilla area can be inconvenient because it disrupts the aesthetics and also the function of the teeth. Therefore, it has to be completely removed by surgery.


Objective: To correct the condition of epulis by excision and gingival contouring for aesthetic need.


Case Report: A 30-year-old female patient presented with a complaint of a mass on the gum of the anterior teeth on her upper jaw that made her unconfident to smile. The mass had been there for 1.5 years.


Conclusion: The condition of epulis can be corrected by excision procedure and by removing the cause of the epulis (sub-gingival calculus). The aesthetic result can be obtained by gingival contouring after the excision.


Keywords: epulis, fibrous epulis, gingival hyperplasia, excision, gingival contouring, gingival biopsy

References
[1] Scully C. Oral and maxillofacial medicine: The basis of diagnosis and treatment. 2nd ed. Edinburg: Churchil Livingstone; 2008.

[2] Dabholkar JP, Vora KR, Sikdar A. Giant fibrous epulis. Indian Journal of Otolaryngology and Head & Neck Surgery. 2008;60(1):69-71. https://doi.org/10.1007/s12070- 008-0022-0

[3] Liu C, Qin ZP, Fan ZN et al. New treatment strategy for granulomatous epulis: Intralesional injection of propranolol. Medical Hypotheses. 2012;78(2):327– 329.

[4] Kfir Y, Buchner A, Hansen LS. Reactive lesions of the gingiva. A clinicopathological study of 741 cases. Journal of Periodontology. 1980;51(11):655–661.

[5] Alam MN, Chandrasekaran SC, Valiathan M. Fibroma of the gingiva: A case report of a 20 year old lesion. International Journal of Contemporary Dentistry. 2010;1(3):107– 109.

[6] Bataineh A, Al-Dwairi ZN. A survey of localized lesions of oral tissues: A clinicopathological study. The Journal of Contemporary Dental Practice. 2005;6(3):30-39.

[7] Reddy S. Essentials of clinical periodontology and periodontics. 3rd ed. Bemgaluru: Jaypee; 2011.

[8] Peralles PG, Viana APB, Azedevo ALR, Pires FR. Gingival and alveolar hyperplastic reactive lesions: Clinicopathological study of 90 cases. Brazilian Journal of Oral Science. 2006;5(18):1085-1089.

[9] Ajagbe HA, Daramola JO. Fibrous epulis: Experience in clinical presentation and treatment of 39 cases. Journal of the National Medical Association. 1978;70(5):317– 319.

[10] Rajanikanth BR, Srinivas M, Suragimath G et al. Localized gingival enlargement — A diagnostic dilemma. Indian Journal of Dentistry. 2012;3(1):44–48.

[11] Canadian Institute for Health Information. International statistical classification of diseases and related health problems, Vol. 1 – Tabular list. 10th ed. Ottawa: Canadian Institute for Health Information; 2012.

[12] Tamarit-Borra M, Delgado-Molina E, Berini-Ayte L et al. Removal of hyperplastic lesions of the oral cavity. A retrospective study of 128 cases. Medicina Oral, Patologia Oral y Cirugia Bucal. 2005;10(2):151–162.