A case of giant epulis osteoplastica with a sequestrum

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  • MASUDA Tomotake
    The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
  • TANAKA Noriaki
    Department of Oral and Maxillofacial Surgery, Hyogo College of Medicine
  • IIDA Seiji
    The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
  • SAWAI Natsuko
    The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
  • OGURA Takafumi
    Department of Dentistry and Oral Surgery, Sakai Municipal Hospital
  • KOGO Mikihiko
    The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry

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Other Title
  • 腐骨化した巨大な骨形成性エプーリスの1例
  • フコツカ 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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Epulis osteoplastica is a rare disease. We report a case of giant epulis osteoplastica containing a largesequestrum. A 63-year-old man was referred to our clinic because of a painless swelling on the left mandibularalveolus. Intraoral examination revealed an elastic hard tumor with a normal surface in the left lower molar region.Radiographic examination showed a large radiopaque mass separate from mandibular bone. Gingival tumor excisionwas performed with the patient under general anesthesia. The excised specimen measured 50 X 38 X 28mm and contained the bony mass. Histopathologically, the lesion was diagnosed as epulis osteoplastica with asequestrum. The patient was followed up for 4 years after the operation, without any recurrence.

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