Oral pathology ospe
Ehsan lectures Ehsan
lectures
Ehsan Diyal
, Epulides:
localized tumor like gingival enlargements but
are hyperplastic not neoplastic.
• Types according to occurrence • a/c to recurrence
Fibrous epulis(common) • Peripheral Giant cell granulom
Vascular epulids • Vascular epulides
Peripheral giant cell granuloma • Fibrous epulides
More common in females
More common in intercanine area
Slightly more common in maxilla
,Fibrous epulis:
• Clinical:
Pedunculated or sessile
firm consistency
Similar color to gingiva
common between 11-40 year
• Histological:
fibroblastic granulation tissue
interlacing bundles of mature collagens
inflammatory cells infiltrate(plasma cells common)
, Vascular epulides:
• Clinical:
localized soft, deep reddish-purple swelling
• Variants:
pyogenic granuloma
pregnancy epulis
• Histology:
Vascular proliferation
Thin walled vascular spaces
Sheets of endothelial cells
Inflammatory cells infiltration
• Differential diagnosis:
fibrous epulis
pyogenic granuloma
Ehsan lectures Ehsan
lectures
Ehsan Diyal
, Epulides:
localized tumor like gingival enlargements but
are hyperplastic not neoplastic.
• Types according to occurrence • a/c to recurrence
Fibrous epulis(common) • Peripheral Giant cell granulom
Vascular epulids • Vascular epulides
Peripheral giant cell granuloma • Fibrous epulides
More common in females
More common in intercanine area
Slightly more common in maxilla
,Fibrous epulis:
• Clinical:
Pedunculated or sessile
firm consistency
Similar color to gingiva
common between 11-40 year
• Histological:
fibroblastic granulation tissue
interlacing bundles of mature collagens
inflammatory cells infiltrate(plasma cells common)
, Vascular epulides:
• Clinical:
localized soft, deep reddish-purple swelling
• Variants:
pyogenic granuloma
pregnancy epulis
• Histology:
Vascular proliferation
Thin walled vascular spaces
Sheets of endothelial cells
Inflammatory cells infiltration
• Differential diagnosis:
fibrous epulis
pyogenic granuloma
