• Australian dental journal · Jun 2010

    Gingival enlargements and localized gingival overgrowths.

    • N W Savage and C G Daly.
    • School of Dentistry, The University of Queensland, Brisbane. n.savage@uq.edu.au
    • Aust Dent J. 2010 Jun 1; 55 Suppl 1: 55-60.

    AbstractGingival enlargements are a common clinical finding and most represent a reactive hyperplasia as a direct result of plaque related inflammatory gingival disease. These generally respond to conservative tissue management and attention to plaque control. However, a small group are distinct from these and whilst they also represent a reactive tissue response, this occurs at the level of the superficial fibres of the periodontal ligament. These epulides grow from under the free gingival margin and not as a result of a primary inflammatory gingival enlargement. This distinct aetiopathogenesis separates this group of lesions both in terms of their specific clinical presentation and behaviour and their propensity for recurrence if managed inadequately.

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