Giant osteogenic maxillary epulis: A case report

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  • Sekido Katsuhisa
    Department of Dentistry and Oral Surgery, Toyama Red Cross Hospital Department of Oral and Maxillofacial Surgery, and Comprehensive Oral Science, Faculty of Medicine, University of Toyama
  • Hariya Yasushi
    Department of Oral and Maxillofacial Surgery, Teine Keijinkai Hospital
  • Ishizaka Risa
    Department of Oral and Maxillofacial Surgery, and Comprehensive Oral Science, Faculty of Medicine, University of Toyama Department of Oral and Maxillofacial Surgery, Teine Keijinkai Hospital
  • Okita Michiko
    Department of Oral and Maxillofacial Surgery, Teine Keijinkai Hospital
  • Harada Masashi
    Department of Oral and Maxillofacial Surgery, Teine Keijinkai Hospital
  • Nakayama Eiji
    Division of Oral and Maxillofacial Radiology, Department of Human Biology and Pathophysiology, School of Dentistry, Health Sciences University of Hokkaido

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Other Title
  • 上顎歯肉に発生した巨大な骨形成性エプーリスの1例

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Abstract

Epulis refers to a benign localized mass occurring on the gingiva, usually as a result of reactive or chronic inflammation. We report a case of giant epulis osteoplastica involving the right maxillary gingiva. A 42-year-old man was referred to our hospital with swelling of the right maxillary gingiva. He had first noticed the mass 4 months prior to visiting our hospital. The patient had received hemostatic treatment at a local dental clinic several times due to bleeding from the mass. Intraoral examination showed a pedunculated, elastic-hard, well-defined mass on the right maxilla. Computed tomography revealed a mass growing from the right maxillary gingiva, and a bone-like radiopaque image was found inside the lesion. Tumor excision was performed under general anesthesia. The specimen was 70×50×28mm in size, and histopathological examination confirmed epulis osteoplastica. The patient has shown no recurrence during 3 years and 3 months of postoperative follow-up.

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