Lumps and swellings in the gingiva

Lumps and swellings in the gingiva

INTRODUCTION

Gingival swelling is often very localized (then sometimes termed an ‘epulis’ from the Greek, meaning ‘upon the gum’; plural ‘epulides’), but may be more generalized, or can involve most of the gingivae. Imaging and biopsy may be required for diagnosis.

Epulides are common, but rarely are they true neoplasms (Box 12.1).

BOX 12.1   Main causes of gingival lumps or swelling

Most gingival lumps originate in the gingival tissues but some arise from the underlying tissues such as from the bone (Box 12.2).

BOX 12.2   More advanced causes of lumps on the gingiva

Gingival origin

image Inflammation

image Irritation fibroma (fibrous hyperplasia)

image Hyperplastic gingivitis

image Fibrous epulis (fibroepithelial polyp)

image Pyogenic granuloma

image Pregnancy tumour

image Peripheral giant cell granuloma

image Peripheral ossifying fibroma

image Abscesses

image Chronic gingivitis

image Granulomatous conditions

image Neoplasms

image Drugs

image Deposits

image Cysts

image Exostoses

image Fibrous epulis

image Giant cell tumour

image Hereditary

Central lesions perforating the jaw bone

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Apr 6, 2015 | Posted by in Oral and Maxillofacial Pathology | Comments Off on Lumps and swellings in the gingiva
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