Epulides



Epulides are circumscribed, tumor-like growths on the gingiva. They are mostly reparative chronic proliferative inflammations, gingivitis, which can be limited. They are less often of non-inflammatory origin.

Epulis gigantocellularis

 * arises from a proliferative reparative process after damage to the gingiva;
 * the cause can be tartar, extraction, prosthesis, chronic inflammation;
 * occurs in the landscape of premolars;
 * the surface is smooth, reddish brown or blue translucent.

Epulis granulomatosa

 * it is a local hyperplasia of non-specific granulation tissue on the gingiva;
 * the cause is irritation of the gingiva;
 * it is a gray-red mass on the gingiva with a granular surface or exulsed with a pseudomembrane.

Granuloma pyogenicum

 * it is a chronic proliferative granulomatous inflammation;
 * it arises from a small trauma that allows infection to enter and the tissue begins to react by forming highly vascularized connective tissue;
 * color is red to yellow;
 * the formation is painless, soft, sessile or pedunculated.

Epulis fibromatosa

 * it is a fibromatous formation adhering to the free gingiva;
 * usually arises from the transformation of granulomatous epulida and its scarring;
 * the surface is often exulsed;
 * dystrophic calcification often occurs in the center of the formation.

Epulis fissurata

 * it is one of the most common chronic inflammatory proliferative reactions of the oral cavity to an ill-fitting prosthesis;
 * it is not a true epulis, because it is usually located in the fornix of the upper or lower vestibule;
 * it is chronic productive circumscribed stomatitis;
 * the tissue may be ulcerated.