Patients with ulcer and mechanical stimulation may have a
high risk of experiencing recurrent epulis suggests a recent study published in
The Journal of the American Dental Association
The word epulis is a generic term that refers to a growth on
the gingiva or alveolar mucosa. However, the best-known usage of this term is
in epulis fissuratum, which is a reactive overgrowth of fibrous connective
tissue in response to an ill-fitting denture. The association between
clinicopathologic characteristics and the relapse of fibrous gingival
hyperplasia is unknown.
The records of 211 consecutive patients with a
clinicopathologic diagnosis of fibrous gingival hyperplasia were retrieved.
Patients who experienced relapse after surgical excision of the lesion were
considered case patients (n = 30). All control patients were informed that
there was no recurrence (n = 181). Logistic regression was used to evaluate the
associations among different characteristics and the recurrence. Stratified
analyses on sex was applied to identify the different associations.
Results
- Binary logistic regression showed that patients
with ulcer or mechanical stimulation had a higher risk of experiencing
recurrence. - Stratified analysis of sex identified
significant association in females - No significant difference was observed in males
- Male patients with larger epulides had fewer
recurrence - There was no significant difference in
pathologic calcification between case and control patients (P > .05).
Patients with ulcer and mechanical stimulation may have a
high risk of experiencing recurrent epulis. More attention should be paid to
patients with ulcer and mechanical stimulation. Apart from complete surgical
removal, it is important to remove local stimulation to prevent recurrence of
these lesions.
Reference:
Kehui Xu, Yifei Zhu, Yuanyuan Li, Franklin R. Tay, Kai Jiao,
Lina Niu. Clinical and pathologic factors associated with the relapse of
fibrous gingival hyperplasia. The Journal of the American Dental Association Published:October
25, 2022DOI:https://doi.org/10.1016/j.adaj.2022.08.014
Key Words
Gingival diseases, fibrous epulis, recurrence, Kehui Xu,
Yifei Zhu, Yuanyuan Li, Franklin R. Tay, Kai Jiao, Lina Niu, The Journal of the
American Dental Association