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