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BMC Oral Health

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Open Access 01-12-2023 | Periodontal Maintenance Therapy | Research

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

Authors: Na Zhao, Yelidana Yesibulati, Pareyida Xiayizhati, Yi-Ning He, Rong-Hui Xia, Xiang-Zhen Yan

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

To analyze the clinicopathological features of different histological subtypes of epulis, and evaluate the risk factors associated with recurrence.

Materials and methods

A retrospective study including 2971 patients was performed. The patients’ sex, age, location, size, histological subtypes, recurrence information, oral hygiene habits, periodontitis symptoms and smoking history were retrieved from the patient medical records and follow-up information.

Results

Among the 2971 cases, focal fibrous hyperplasia (FFH) was the most common lesion (60.92%), followed by peripheral ossifying fibroma (POF) (29.32%), pyogenic granuloma (PG) (8.08%) and peripheral giant cell granuloma (PGCG) (1.68%). The peak incidence of epulis was in the third and fourth decade of life, with a mean age of 45.55 years. Female predominance was found in all types of lesions with a female to male ratio of 1.71:1. PG had the highest recurrence rate (17.18%), followed by POF (12.98%), FFH (9.55%) and PGCG (8.82%). Histological subtypes were significantly correlated with the recurrence of epulis (P = 0.013). Regular supportive periodontal therapy (P = 0.050) had a negative correlation with recurrence, whereas symptoms of periodontitis (P < 0.001) had a positive correlation with the recurrence of epulis.

Conclusions

Controlling the periodontal inflammation and regular supportive periodontal therapy might help reduce the recurrence of epulis.

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Title: A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence
Authors: Na Zhao
Yelidana Yesibulati
Pareyida Xiayizhati
Yi-Ning He
Rong-Hui Xia
Xiang-Zhen Yan
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Periodontal Maintenance Therapy
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-02935-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

Abstract

Background

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusions

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