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Radiosurgical Techniques
Published in Jeffrey A Sherman, Oral Radiosurgery, 2020
Use a fully rectified waveform and a loop electrode tip (127 or 128) to remove the epulis with a planing procedure. The electrode is passed over the surgical area several times until complete removal of the epulis is accomplished. If the specimen is to be sent for a biopsy, remove the specimen with fully filtered waveform. Once the specimen is removed, you can continue with the fully rectified waveform.
The gastrointestinal system
Published in C. Simon Herrington, Muir's Textbook of Pathology, 2020
Sharon J. White, Francis A. Carey
Fibrous overgrowth of the oral mucosa is very common and frequently presents as a fibroepithelial polyp secondary to chronic trauma. An epulis is a localized swelling on the gingiva. A fibrous epulis typically occurs as a reaction to chronic irritation, e.g. from dental calculus (calcified plaque) or the rough margin of a carious cavity or filling. It consists of a mass of cellular fibrous tissue often with metaplastic bone formation. Pyogenic granulomas comprise a mass of granulation tissue, often ulcerated, and are found at any intraoral site, but most often form on the gingiva as a vascular epulis or, in pregnancy, as a pregnancy epulis. Giant cell epulis (peripheral giant cell granuloma) is a distinct lesion consisting of numerous multinucleated giant cells in a vascular stroma. It is a superficial lesion with minimal bone involvement. However, intraosseous lesions, such as central giant cell granuloma or lesions of hyperparathyroidism, may mimic a giant cell epulis clinically and histologically if they extend to involve the gingival soft tissues; thus, radiological and biochemical investigations are warranted in such cases.
Benign Oral and Dental Disease
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Konrad S. Staines, Alexander Crighton
Localized gingival swellings (epulides) may be of local aetiology (irritation) or can be manifestations of pregnancy, a neoplasm or systemic disease (Table 42.4). Generalized gingival swelling is most commonly seen in chronic gingivitis, or caused by drugs such as phenytoin, cyclosporin and calcium channel blockers (Figure 42.3) and is occasionally hereditary (hereditary gingival fibromatosis). Gingival swelling may also be seen in herpetic stomatitis, leukaemia, Crohn’s disease (CD), orofacial granulomatosis, sarcoidosis, amyloidosis, scurvy and other disorders.
Congenital granular cell epulis: 24 new cases with more differences than similarities to granular cell tumor
Published in Ultrastructural Pathology, 2022
Hernandez Sara Avalos, Elizabeth Manci, Madhuri Mulekar, Aisling Finnegan, Sandip Barui, Carlos Galliani, David Kelly, Guillermo A Herrera
Congenital granular cell epulis (CGCE) is the nomenclature recommended by the World Health Organization for an exceedingly rare benign tumor that occurs in newborn infants with a marked female predominance (10:1).1 Since the first description by the German pathologist, Ernst Christian Neumann, in 1871, this tumor has been variously termed congenital epulis, gingival granular cell tumor of the newborn, congenital epulis of the newborn, congenital granular cell myoblastoma, granular cell fibroblastoma, and Newmann tumor.2,3 Less than 250 cases of CGCE have been reported over the intervening 150 years. The word “epulis” (pleural epulides) was derived from Greek and used by Virchow to describe any mass involving gingiva or alveolar mucosa, regardless of histology or pathogenesis. Histologically, CGCE comprises granular cells similar to those in Schwannian-derived granular cell tumors (GCT) and both stain strongly positive for vimentin. For these reasons, CGCE and GCT were considered closely akin. Multiple immunochemical studies have confirmed Schwannian origin for GCT by positive staining of granular cells for S100 and CD68, whereas in GCCE, granular cells are negative.4 Likewise, multiple ultrastructural studies have shown Schwannian features in GCT (cellular basement membranes, and long processes with microtubules) that are not present in CGCE.3
Congenital Epulis Diagnosed Antenatally
Published in Fetal and Pediatric Pathology, 2023
Chiraz Regaieg, Meriam Triki, Manel Charfi, Slim Charfi, Fathi Karray, Mohamed Abdelmoula, Tahya Boudawara, Amel Ben Hamed, Nedia Hmida
Congenital epulis is a benign intraoral tumor that occurs only in the newborn. It arises predominantly from the maxillary or mandibular alveolar ridges and usually regresses spontaneously without recurrence [1]. Prenatal detection of this tumor has facilitated the narrowing down of differential diagnoses and proper treatment planning through a multidisciplinary approach [2]. We describe a congenital epulis in which the diagnosis was suggested at antepartum ultrasonography (US) and that was successfully resected after birth. This case was remarkable because of early identification at 30 weeks of gestation and for the necessity of immediate resection because of large size and possible airway compromise.
Oral health status of pregnant women in Ilorin, Nigeria
Published in Journal of Obstetrics and Gynaecology, 2018
Kikelomo T. Adesina, Moninuola A. Ernest, Abiola O. Tobin, Salamat A. Isiaka-Lawal, Moshood F. Adeyemi, Adebunmi O. Olarinoye, Grace G. Ezeoke
The low prevalence of pregnancy epulis in this study was comparable to findings at the oral examination among pregnant women in Raichur India, and in Accra, Ghana (Annan and Nuamah 2005; Gupta and Acharya 2016). Pregnancy epulis, also known as pyogenic granuloma, results from the interplay between the hormonal effects, gingival vasculature and a poor oral hygiene in pregnancy. This causes a chronic gingivitis that is commonly observed in the third trimester and resolves spontaneously at 1–4 weeks’ postpartum. (Rabinerson et al. 2002; Saravanum et al. 2012). Epulis-like lesions outside a pregnancy are peripheral giant cell granuloma, a central giant cell granuloma and fibroma (Agrawal 2015).