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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2001 December;160(6):181-8

language: Italian

Epulides: anatomic-clinical considerations on 113 cases

Fioroni M. 1, Procaccini M. 1, Bartolucci M. 1, Rubini C. 2

1 Università degli Studi - Ancona, Istituto di Scienze Odontostomatologiche;
2 Università degli Studi - Ancona, Istituto di Anatomia ed Istologia Patologica


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Background. Epulides are sessile or pedunculated benign tumours, of chronic inflammatory origin, arising on the gingiva from the periodontal ligament, more often in the interdental space. In this work, an epidemiological study regarding the epulides, based on the Soames and Southam’s histological classification, was carried out.
Methods. 113 cases of epulides were examined and the patients’ age, sex and the maxillary site where they were found were considered; then, a histological examination of the specimens was carried out.
Results. The epulides observed in this study were more often present in patients belonging to the 40, 60 and 70 year age groups; females, in particular, were affected. These neoformations arose on the maxillary alveolar ridge more often than on the mandible. On microscopic examination, 68 cases of fibrous epulis (60%), 27 cases of giant-cell epulis (24%) and 18 cases of vascular epulis (16%) were distinguished.
Conclusions. In the clinical and epidemiological study of the epulides, it is important that all the authors refer to a single histopathologic classification for obtaining homogeneous data. The diagnosis of epulis has to be timely and correct in order to carry out a suitable therapy and avoid dangerous complications.

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