Epulis

Write a short note on epulis.
Answer:

Epulis is a fibrous growth of oral soft tissue and is very common.
Epulis is a lesion that occurs on the gingiva and is localized hyperplasia of connective tissue following trauma or inflammation in the area.

Epulis

Types of Epulis

Epulis Clinical Features

It occurs at the age of 10 to 40 years.
Female predilection is present.
The most affected sits are the lip, gingiva, tongue, palate, and vestibule. The lesion is more common in the maxillary anterior region.
The lesion is an elevated, pedunculated, or sessile mass with a smooth, lobulated, or warty surface that is ulcerated.
On manipulation, the ulcer bleeds.
The lesion is pink to red to purple in color depending on the age of the lesion. It is usually painless and is soft in consistency.
The size of the lesion ranges from 1 mm to centimeters.

Types of epulis

Epulis Histopathology

The overlying epithelium is thin and atrophic. At times it is hyperplastic too.
The surface of the epithelium is usually ulcerated and is replaced by thick fir in the purulent membrane.
Underlying connective tissue has a number of endothelial-lined vascular spaces engorged with RBCs and extreme proliferation of fibroblasts and budding endothelial
cells.

Pyogenic granuloma gum

There is a presence of moderate infiltration of PMN leucocytes, lymphocytes, and plasma cells.
Areas of hemorrhage and hemosiderin pigmentation is seen in connective tissue stroma.
Histologically epulis is known as pyogenic granuloma.

The Oral Cavity And Salivary Glands Pyogenic Granuloma

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