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Clinical Oral Investigations

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01-09-2016 | Original Article

Epulis: a study of 92 cases with special emphasis on histopathological diagnosis and associated clinical data

Authors: Astrid Truschnegg, Stephan Acham, Birgit Alexandra Kiefer, Norbert Jakse, Alfred Beham

Published in: Clinical Oral Investigations | Issue 7/2016

Abstract

Objectives

Aim of the present study was clinical and histopathological evaluation of a series of epulides to provide clinicians data to frequency distribution and biological behaviour of different underlying entities.

Materials and methods

Ninety-two cases of epulides removed by CO₂-laser at the Department of Oral Surgery and Radiology, Medical University of Graz from 2000 to 2014 were studied retrospectively for clinical data and histopathological diagnosis.

Results

In the presented study, histopathological examination revealed peripheral ossifying fibroma (32.6 %), fibroma/fibrosis (29.3 %), giant cell lesion (13.1 %) and granuloma pyogenicum (8.7 %) as the most frequent underlying entities. For the first time, hyperplastic squamous epithelium (7.6 %), granulation tissue (5.4 %) and peripheral odontogenic fibromas (3.3 %) were detected to clinically appear as epulides. Irrespective of the histological diagnosis, the mean age in our patients was 43.8 years. The majority of the lesions were found in the frontal region of both jaws. In all cases, the patients showed poor oral hygiene, local gingivitis and some of them an occlusal trauma.

Conclusions

To identify different entities with different biological behaviour, to exclude malignant tumours and to identify new entities among epulides, histopathological examination is required. Poor oral hygiene and occlusal trauma seem to play an important role in the pathogenesis and could be risk factors for recurrences.

Clinical relevance

Frequency distribution of different entities in epulides is provided to clinicians, and new histopathological entities were detected to clinically appear as epulides.

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Title: Epulis: a study of 92 cases with special emphasis on histopathological diagnosis and associated clinical data
Authors: Astrid Truschnegg
Stephan Acham
Birgit Alexandra Kiefer
Norbert Jakse
Alfred Beham
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 7/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-015-1665-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Epulis: a study of 92 cases with special emphasis on histopathological diagnosis and associated clinical data

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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