Epulides


Epulis fissurata

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.

Distribution

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.

References

  • LIŠKA, Karel. Orofacial pathology. 1. edition. 1983.