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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Author information Article notes Copyright and License information Disclaimer. Periodontal management of gingival enlargement associated with Sturge-Weber syndrome.

When patients are in combination therapy, in which two or more drugs are known to cause gingival enlargement, then, which should be attributed to the diagnosis of DIGO, is a puzzle. Fibrous epulis and its subtypes. The etiology of this entity is difficult to establish, but it is considered to be a hypersensitivity reaction with affluent plasma cells seen histologically.

Tumor arising from anterior maxillary alveolus. Salivary glands 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: Radiographic examination did not demonstrate any bone involvement Figure 2.

Indian J Hum Genet. Oral mucosa — Flbrosa of mouth.

Pathology Outlines – Epulis

Table 2 Gingival enlargement associated with syndromes in different types of genetic disorders. Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Epuliss report with brief review. Presence of fluid may give them a bluish hue and they eplis lead to resorption of the labial bone due to pressure.

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However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician.

A rare case of gingival hyperplasia secondary to acute lymphoblastic leukemia has also been reported[ 39 ]. The connective tissue was fat infiltrated Figure 3b.

The lesions themselves remain painless epuljs most cases, however associated caseation of the dependent lymph nodes may be seen[ 4546 ]. Confluent to nodular submucosal growth of tumors composed of large polygonal cells with eosinophilic granular cytoplasm and small central nuclei Overlying epithelium is atrophic; does NOT show pseudoepitheliomatous hyperplasia common with granular cell tumor of adults.

Fibrous inflammatory hyperplasias may occur on any surface of the oral mucous membrane fibgosa either pedunculated or sessile growth.

Gingival enlargements: Differential diagnosis and review of literature

Salivary glands Benign lymphoepithelial lesion Eoulis 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: Gingival abscess, near gingival margin or papilla; B: Anticonvulsants[ 1516 ].

Phenotype and genotype in 17 patients with Goltz-Gorlin syndrome. Page views in Primary tuberculous gingival enlargement: Andrews’ Diseases of the Skin: Secondary tuberculous ulceration of the tongue. On microscopic examination, the lesion appeared densely fibrous with inconspicuous proliferating fibroblasts and moderate lymphoplasmacytic infiltrate and vascular dilatation. An epulis granulomatosa is a granuloma which grows from an wpulis socket the hole left after a tooth has been removedand as such can be considered to be a complication of healing after oral surgery.

Basal cell fobrosa Canalicular adenoma Ductal gibrosa Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: By using this site, you agree to the Terms of Use and Privacy Policy.

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It was firm in consistency, irregular surfaced, pedunculated, and did not bleed when touched. Generalized gingival enlargement associated with leukemia is due to the massive infiltration of leukemic cells in the gingival connective tissue.

A customized decision tree is designed, which will help clinicians to keep a broad view when formulating a differential diagnosis of localized isolated, discrete, regional fihrosa generalized gingival enlargement and arrive at a particular diagnosis is an easy and systematic manner. Conditions of the mucous membranes Oral mucosal pathology.

Tumor composed of cells having abundant granular eosinophilic cytoplasm fibeosa monomorphic vesicular nuclei with inconspicuous nucleoli. Birth Defects Orig Artic Ser. Gingival enlargement associated with systemic disease Leukemia: The clinician should have an open mind and consider all possibilities before coming to the final diagnosis of the condition at hand.

On rare occasion, it may arise on the tongue, or be multifocal. Please review our privacy policy. Idiopathic gingival enlargement is also referred to as congenital familial fibromatosis, gingivomatosis, idiopathic fibromatosis, elephantiasis and hereditary gingival hyperplasia. The lesion is usually painless.

This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. May 13, Article in press: Orofacial soft tissues — Soft tissues around the mouth. Periapical radiography exhibiting no osseous or dental involvement. Lesions eoulis asymptomatic and have a variable growth rate. Published online Sep