当科におけるエプーリスの臨床的観察

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  • A Clinical Analysis of Epulis Treated in Our Clinic

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A total of 68 cases diagnosed as epulis in the Second Department of Oral Surgery, Kyushu Dental College Hospital, during the period from 1969 to 1988, was clinically analysed. The results were as follows : 1. A series of 68 cases of epulis has been treated by conservative surgical excision. This series was classified histopathologically to be ; 27 cases epulis granulomatosa (39.7%), 13 cases epulis fibrosa (19.1%), 12 cases epulis hemangiomatosa (17.6%), 10 cases epulis fibromatosa (14.7%), 4 cases epulis osteoplastica (5.9%), 1 case giant cell epulis (1.5%) and 1 case congenital epulis (1.5%), according to Ishikawa classification (1982). 2. The majority of 68 epulis cases was in patients between 40 to 50 years of age. By sex, the incidence was 2.4 times greater in females than in males. 3. These lesions were located more frequently on the maxillary gingiva (60.3%) than on the mandibular gingiva (39.7%). The epulis in the majority of 68 cases was located in the anterior segments of the jaws. 4. The epulis in the majority of 68 cases was smaller than the thumb tip. 5. As to the recorded known duration, the incidence under 1 year was 60.3% and over 2 years was 25%. 6. In 20 cases (29.4%), the chronic local irritations were considered as the cause of these lesions. 7. Treatment was performed all by surgical excision. In 26 cases (38.2%), extraction of the adjoining teeth was performed. The prognosis is good and no recurrence is noticed in any case.

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