๐Ÿ‘‰ Epulis means “upon the gum”. It refers to a solid swelling situated on the gingiva.

๐Ÿ‘‰ It arises from the alveolar margin of the jaw.

๐Ÿ‘‰ The swelling is usually painless.

Classification of Epulis โžก๏ธ Based on it’s consistency:

โšซ Soft Epulis – Granulomatous

โšซ Firm Epulis – Fibrous, Giant cell

โšซ Hard Epulis – Carcinomatous

โšซ Malignant Epulis – Carcinomatous

โšซ Dangerous Epulis – Fibrosarcomatous

Granulomatous Epulis:

๐Ÿ”ผ Consistency: Soft to firm fleshy mass

๐Ÿ”ผ Clinical Presentation: Manifests as a mass of granulation tissue around the teeth on the gums. It bleeds on touch.

๐Ÿ”ผ Example: Pregnancy Epulis (gingivitis gravidarum)

Fibrous Epulis: (โญ most common)

๐Ÿ”ผ Consistency: Firm polypoidal mass

๐Ÿ”ผ Clinical Presentation: Slow growing, non tender, a simple fibroma arising from the periodontal membrane, presents on the gum. May undergo sarcomatous change.

Giant Cell Epulis: (โญ AKA Myeloid Epulis)

๐Ÿ”ผ Consistency: Soft to firm gums with indurated underlying mass due to expansion of bone.

๐Ÿ”ผ Clinical Presentation: It is an osteoclastoma arising in the jaw. Presents as hyperaemic vascular, oedematous, may ulcerate and result in haemorrhage. X ray shows pseudo trabeculation.

๐Ÿ”ผ Treatment: Small tumours are treated by currettage; Large tumours are treated by radical excision.

Carcinomatous Epulis:

๐Ÿ”ผ Consistency: Hard or malignant in consistency.

๐Ÿ”ผ Clinical Presentation: This is an epithelioma arising from mucous membrane of the alveolar margin. Presents as a non healing, painless ulcer slowly infiltrating the bone. Hard regional lymph nodes are due to metastasis.

๐Ÿ”ผ Treatment: Wide excision which includes removal of segment of the bone.

SOURCE: Manipal Manual of Surgery (3rd edition)


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s