Introduction: Epulis granulomatosa is a lesion which grows from an extraction socket. It can be misdiagnosed with lesions of the same clinical appearance such as: foreign body or pyogenic granuloma, or as a herniation of the maxillary sinus. The most common treatment is surgical excision. Results and conclusion: Lasers are useful for soft tissue surgery in modern dentistry, especially in relation to pediatric patients due to the rapid and regular wound healing without sutures. There are several oral soft tissue lesions in pediatric patients with different clinical presentations 1.
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International Medical College. IMC Wiki Epulides. Table of Content: Definition and clinical picture Pyogenic granuloma Fibrous hyperplasia Peripheral giant-cell granuloma sources. The diseases referred to as epulides will be designated in this chapter using the current WHO classification Wahi After the diagnosis has been confirmed histopathologically, diseases that are designated as epulides should be referred to with the following terms: - Pyogenic granuloma, - Fibrous hyperplasia, or - Peripheral giant-cell granuloma.
Zahnimplantate, Parodontosebehandlungen, Aesthetische Zahnbehandlungen. Synonyms: Lobular capillary hemangioma, granulation tissue-like hemangioma, epulis granulomatosa, epulis gravidarum, granuloma teleangiectaticum, epulis angiomatos. Local reactive connective-tissue proliferation of skin and mucosa. Localised most frequently on the gingival surface or in the vestibule, the tongue, or the cheek. Women are more frequently affected than men. Marginal periodontitis is of causal significance in its aetiology; microtrauma is also a possible cause.
Often a short case history and a tendency for recurrence. Special form: Pyogenic granuloma Epulis gravidarum. Granulation tissue with various degrees of inflammation and development of collagen fibres. In case of prominent capillary proliferation: "Granuloma teleangiectaticum".
Strictly speaking, they are not granulomas. Polypoid, usually broad-based, rough, pale overgrowth of the gingival mucosa; pedicled forms also occur. Marginal periodontitis and microtrauma can also be significant in the aetiology. Inflammatory fibrous dysplasia Localisation in the area of the denture flange, often multiple. The surface may be ulcerated. Aetiology: Ill-fitting denture; inflammation secondary to functional activity speech and mastication.
Traumatic fibromas Ubiquitous in the oral cavity, often at the level of the occlusal plane. Broad-based or pedicled mucosal protrusion. Usually reactive, irritative, localised lesions; clinically and histologically similar to fibromas true neoplasias pic. Polypoid protruding mucosa, subepithelial nodular and dense deposition of collagen fibre bundles with sparse small blood vessels, usually without inflammatory infiltrate.
Excision and send for histological examination Improvement of the denture fit, if necessary. Localised on the gingival margin as a dark-red to bluish "epulis"; only occurs on the gingiva; a non-neoplastic, localised, reactive cell proliferation with tendency for recurrence.
Vascular connective tissue, mononucleated cells and multinucleated giant cells. Axhausen, G. MyIMC Login. Histopathological classification Axhausen : German-speaking countries.
Epulis Granulomatosa: Extraction Sequellae
The mouth constitutes a sort of "no man's land" between the domain of the dermatologist and that of the dentist, and the boundaries of their respective fields are at times indistinct. The case reported here is an example of a condition which was not recognized by specialists in either field or by a surgeon, is mentioned not at all in dermatologic textbooks and inadequately in textbooks dealing with pathologic conditions of the mouth and was finally diagnosed only after a biopsy. Carlyle Ahrens of Artesia, Calif. The lesion had been discovered three days previously by a dentist, after the extraction of five infected, gold-capped front teeth.
Excision of Epulis Granulomatosa with Diode Laser in 8 Years Old Boy
Epulis granulomatosa is a post-surgical lesion emanating from an extraction socket. It can be misdiagnosed with lesions of similar appearance, for example, foreign body or pyogenic granulomas, or as a herniation of the maxillary sinus. Based on clinical appearance and microscopic description, granulomas all appear to represent essentially the same lesion. However, pathonomonically, the epulis granulomatosa emanates only from an extraction socket; the other granulomas can be found anywhere in the body.