Abstract
Epulis is a general term for inflammatory hyperplasia of the gingiva. It is a common disease in the oral region. We reported a case of large epulis on the right premolar to molar gingiva of the mandible in a 78-year-old female. She complained of tumor formation on the right molar gingiva of the mandible, which was elastic hard, pedunculate, and had a smooth surface with multiple small ulcers.
Radiographically, small radiopaque areas were scattered in the mass, suggesting that the tumor had many calcified areas. Tissue biopsy revealed an inflammatory granulation tissue containing calcified bodies. After simple extirpation of the epulis, alveolar f ossa was confirmed under the tumor.
Histopathologically, the specimen, which was 61×48×40 mm in size and 50 g in weight, showed fibrous connective tissue including proliferation of collagen fiber and scattered lamellar bones surrounded by osteoblasts.
We could identify 20 previous reports of large epulides over the past 10 years, and our case proved to be of medium size among them. In this paper we reviewed patient's age, sex, position, size, and treatment of the previously reported cases.
