Epulis as a Manifestation of Periodontal Pathology: Clinical Case and Treatment

Epulis is a clinical term that refers to a reactive localized proliferation of connective tissue in the gingiva, the specific histologic basis of which is not defined. Epulis can affect individuals of any gender and age, but is more common in women and young adults. Clinically, most epulis lesions look similar and are difficult to distinguish from other tumor-like lesions. Since a large number of gingival lesions are macroscopically similar to epulis, the literature has not yet defined an official classification of such lesions. The aim of the work is to present a clinical case of giant cell epulis in a 25-year-old woman, which was removed by mucosal flap detachment and complete periosteum curettage and bone revision after two previous unsuccessful surgical interventions. Woman A., 25 years old, complained of an aesthetic defect, namely, gingival enlargement between the 23rd and 24th teeth in the maxilla for 1 year. It is known from the anamnesis that 2 years ago, gingival enlargement in this area first appeared, which was removed by diathermocoagulation. After 6 months, there was a second gingival overgrowth, which was removed by surgical excision of soft tissue, but a few months later there was a recurrence. In the course of our treatment, we excised the growth by detaching the mucous flap from the palatal side, completely removing the granulation tissue in the interdental space up to the unaffected bone, followed by suturing the wound. The material was taken for histological examination, which resulted in the following diagnosis - giant cell epulis. The patient was prescribed accompanying medical treatment in the postoperative period and given recommendations for oral care. Dispensary observation for six months.