A clinico-pathological analysis of epulis treated in our clinic.

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  • 当科におけるエプーリスの臨床病理学的観察

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Abstract

Epulis is a clinical term describing a localized swelling of the connective tissue of gingiva, a common gingival disease. Clinico-pathological analysis was made of 59 equlis cases examined in the Department of Oral Surgery, Kanazawa University Hospital, during the period from 1980 to 1989. The results were follows:<BR>1. They were classified histo-pathologically into 5 patterns, 31 cases of epulis granulomatosa (52.5%), 18 cases of epulis fiburosa (30.5 %), 5 cases of epulis fibromatosa (8.5 %), 3 cases of epulis osteoplastica (5.1%), 2 cases of epulis hemangiomatosa (3.4%), according to Ishikawa classification (1982). No case of giant cell epulis was found in the present series.<BR>2. Epulis was more evident in patients 30 to 50 years of age, and much more common in females than in males by a ratio of 1.7: 1.<BR>3. Epulis in the majority of 59 cases was located in the anterior segments of the jaws.<BR>4. Epulis in the majority of 59 cases was soybean-sized.<BR>5. Treatment was by surgical excision. In 26 cases, extraction and incision were performed. In 33 cases, incision was performed. 2 cases had recurrence and were reoperated. The prognosis is good and no evidence of recurrence has been observed to date.

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