Fibrous epulis - case report
Authors: Radanović Marina , Tomić Slavoljub , Ivanović Tanja , Cicmil Ana , Samardžija Jovana Hrisa , Radanović Srdjan , Lečić Jelena 
Published: September 2022

&lt;p&gt;&lt;strong&gt;&lt;span id=&quot;page359R_mcid63&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 418.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.05778);&quot; role=&quot;presentation&quot;&gt;Introduction&lt;/span&gt;&lt;/span&gt;&lt;/strong&gt;&lt;span id=&quot;page359R_mcid64&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 469.901px; top: 418.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.890469);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; Epulis is a change in gingival tissue that occurs under the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid65&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 438.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.932733);&quot; role=&quot;presentation&quot;&gt;influence of chronic irritation. Histologically, there are several different &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid66&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 458.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.933634);&quot; role=&quot;presentation&quot;&gt;types of epulis. Fibrous epulis is benign tumor of gingiva that most of&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid68&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 478.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.956314);&quot; role=&quot;presentation&quot;&gt;ten occurs in interdental papilla area as a result of local irritation (in&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid70&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 498.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.92806);&quot; role=&quot;presentation&quot;&gt;adequate restorative fillings, carious teeth, subgingival deposits or the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid71&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 518.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.908543);&quot; role=&quot;presentation&quot;&gt;combination of them). The aim of this paper is to present a clinical case &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid72&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 538.511px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.919242);&quot; role=&quot;presentation&quot;&gt;of fibrous epulis.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span id=&quot;page359R_mcid73&quot; class=&quot;markedContent&quot;&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 567.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.983097);&quot; role=&quot;presentation&quot;&gt;Case report.&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid74&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 468.103px; top: 567.96px; font-size: 16.6667px; font-family: sans-serif;&quot; role=&quot;presentation&quot;&gt; &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 473.815px; top: 567.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.966329);&quot; role=&quot;presentation&quot;&gt;A 25-year-old girl reported to the Specialist Center for &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid75&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 587.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.949471);&quot; role=&quot;presentation&quot;&gt;Dentistry in Foca. Clinical examination revealed a gingival tissue en&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid77&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 607.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.978601);&quot; role=&quot;presentation&quot;&gt;largement in the area of&lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 550.203px; top: 607.96px; font-size: 16.6667px; font-family: sans-serif;&quot; role=&quot;presentation&quot;&gt; &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 555.903px; top: 607.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.970168);&quot; role=&quot;presentation&quot;&gt;the upper jaw central incisors with speech &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid78&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 627.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.948603);&quot; role=&quot;presentation&quot;&gt;and chewing function disturbances. Intraoral examination revealed a &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid79&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 647.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.955671);&quot; role=&quot;presentation&quot;&gt;change above the level of gingiva, reddish-pink in color with smooth &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid80&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 667.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.897711);&quot; role=&quot;presentation&quot;&gt;surface texture and soft consistency. The size of the change was 1 x 1.5 &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid81&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 687.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.939751);&quot; role=&quot;presentation&quot;&gt;cm. It was connected to the interdental gingiva between teeth 12 and &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid82&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 707.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.922157);&quot; role=&quot;presentation&quot;&gt;21 by a narrower base. Clinically, a significant amount of soft and hard &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid83&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 727.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.964691);&quot; role=&quot;presentation&quot;&gt;dental deposits surrounded the remaining teeth. Remaining gingiva &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid84&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 747.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.910207);&quot; role=&quot;presentation&quot;&gt;was swollen, red, bleeding on provocation. The anamnesis did not con&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid86&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 767.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.911782);&quot; role=&quot;presentation&quot;&gt;firm the presence of other acute and chronic diseases. The patient was &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid87&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 787.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.902162);&quot; role=&quot;presentation&quot;&gt;not pregnant. She was informed about clinical condition assessment, as &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid88&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 807.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.938384);&quot; role=&quot;presentation&quot;&gt;well as possible therapeutic procedures. Our patient was treated with &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid89&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 827.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.936212);&quot; role=&quot;presentation&quot;&gt;non-surgical periodontal therapy and surgical excision of the enlarge&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid91&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 847.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.952075);&quot; role=&quot;presentation&quot;&gt;ment. After histopathological examination of the removed tissue, the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid92&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 867.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.900182);&quot; role=&quot;presentation&quot;&gt;diagnosis was made:&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid93&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 518.036px; top: 867.96px; font-size: 16.6667px; font-family: sans-serif;&quot; role=&quot;presentation&quot;&gt; &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 521.234px; top: 867.96px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.861328);&quot; role=&quot;presentation&quot;&gt;&amp;ldquo;Fibrous epulis cum ulceration&amp;rdquo;.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span id=&quot;page359R_mcid94&quot; class=&quot;markedContent&quot;&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 897.409px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.972244);&quot; role=&quot;presentation&quot;&gt;Conclusion.&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid95&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 462.603px; top: 897.409px; font-size: 16.6667px; font-family: sans-serif;&quot; role=&quot;presentation&quot;&gt; &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 467.385px; top: 897.409px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.945574);&quot; role=&quot;presentation&quot;&gt;Clinical examination is insufficient for definite diagnosis. &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid96&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 917.409px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.938323);&quot; role=&quot;presentation&quot;&gt;Therefore, a histopathological examination of the tissue is mandatory &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid97&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 937.409px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.921552);&quot; role=&quot;presentation&quot;&gt;for fibrous epulis definite diagnosis. Treatment of choice is surgical ex&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid99&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 957.409px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.921339);&quot; role=&quot;presentation&quot;&gt;cision of the enlargement and removal of predisposing factors to avoid &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page359R_mcid100&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 377.953px; top: 977.409px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.901523);&quot; role=&quot;presentation&quot;&gt;recurrence.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;