EPULIS

• Epulis is defined as the solid swelling situated on the gingival.
• It arises from alveolar margins of the jaw.
• Swelling is painless.

Types of Epulis-

1. Granulomatous epulis-

• It is a soft fleshy mass around the teeth on the gingiva.
• Usually pregnancy epulis is granulomatous type.
• Factors are caries tooth, dentures & poor oral hygiene

2. Fibrous epulis-

• It is the commonest form of epulis.
• It is a firm, polypoidal, slow growing & nontender mass arising from periodontal membrane present on the gingiva.

3. Giant cell epulis-

• Also called as myeloid epulis.
• It is an osteoclastoma arising from the jaw.
• Results in haemorrhage.
• Treatment- curettage (small tumours) & radical exicison (large tumours).

4. Carcinomatous epulis-

• Epithelioma arising from mucous membrane of alveolar margin.
• Hard regional Lymph nodes are due to metastases.
• It is non healing, painless ulcer.

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