A case of massive epulis osteoplastica in the maxilla

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  • DENDA Yuya
    Department of Oral and Maxillofacial Surgery, Nagano Red Cross Hospital
  • KITAJIMA Haruhiko
    Department of Oral and Maxillofacial Surgery, Nagano Red Cross Hospital
  • SHIMIZU Takeshi
    Department of Oral and Maxillofacial Surgery, Nagano Red Cross Hospital
  • GOTO Hideki
    Department of Oral and Maxillofacial Surgery, Nagano Red Cross Hospital
  • KAWAHARA Rie
    Department of Oral and Maxillofacial Surgery, Nagano Red Cross Hospital
  • YOKOBAYASHI Toshio
    Department of Oral and Maxillofacial Surgery, Nagano Red Cross Hospital

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  • 上顎に発生した巨大な骨形成性エプーリスの1例
  • ジョウガク ニ ハッセイ シタ キョダイ ナ コツケイセイセイ エプーリス ノ 1レイ

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Abstract

Epulis is an inflammatory or reactive hyperplasia of the gingiva, and commonly occurs in the oral region. However, epulis osteoplastica （peripheral ossifying fibroma） is a relatively rare disease. We report the case of a massive epulis osteoplastica covering the palate.<br> The patient was a 75-year-old woman who came to our clinic because of a palatal tumor. The tumor measured 60 × 50 × 20 mm and was elastical hard and pedunculated. A radiopaque area was found on radiographic examination. The clinical diagnosis was epulis osteoplastica, and gingival tumor excision was performed under general anesthesia. The histopathological diagnosis was peripheral ossifying fibroma （epulis osteoplastica）. As of 17 months after the operation, there has been no recurrence, and oral function is good.

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