Introduction.Epulis is a change in gingival tissue that occurs under the influence of chronic irritation. Histologically, there are several different types of epulis. Fibrous epulis is benign tumor of gingiva that most often occurs in interdental papilla area as a result of local irritation (inadequate restorative fillings, carious teeth, subgingival deposits or the combination of them). The aim of this paper is to present a clinical case of fibrous epulis. Case report.A 25-year-old girl reported to the Specialist Center for Dentistry in Foca. Clinical examination revealed a gingival tissue enlargement in the area of the upper jaw central incisors with speech and chewing function disturbances. Intraoral examination revealed a change above the level of gingiva, reddish-pink in color with smooth surface texture and soft consistency. The size of the change was 1 x 1.5 cm. It was connected to the interdental gingiva between teeth 12 and 21 by a narrower base. Clinically, a significant amount of soft and hard dental deposits surrounded the remaining teeth. Remaining gingiva was swollen, red, bleeding on provocation. The anamnesis did not confirm the presence of other acute and chronic diseases. The patient was not pregnant. She was informed about clinical condition assessment, as well as possible therapeutic procedures. Our patient was treated with non-surgical periodontal therapy and surgical excision of the enlargement. After histopathological examination of the removed tissue, the diagnosis was made: "Fibrous epulis cum ulceration". Conclusion.Clinical examination is insufficient for definite diagnosis. Therefore, a histopathological examination of the tissue is mandatory for fibrous epulis definite diagnosis. Treatment of choice is surgical excision of the enlargement and removal of predisposing factors to avoid recurrence.
Virus hepatitisa B (HBV), virus hepatitisa C (HCV) i virus humane imunodeficijencije(HIV) predstavljaju patogene koji se prenose krvlju i od posebnogsu interesa za stomatološki tim. U stomatološkoj ordinaciji HBV, HCV i HIVse mogu prenijeti direktnim kontaktom sa krvlju i pljuvačkom koja ima primjesakrvi, ili indirektnim kontaktom sa inficiranim instrumentima tokomi nakon rada. Upotreba oštrih instrumenata pri radu, te susretanje sa pacijentimakoji trpe bol i stres predstavljaju faktore rizika za nastanak ekspozicijskihincidenata. Zbog toga se moraju preduzeti i dosljedno sprovoditimjere zaštite od virusnih infekcija. Specifična zaštita protiv HBV je vakcina.Nespecifična zaštita podrazumjeva zaštitu osoblja, pacijenata, specifičanodnos u radu sa kontaminiranim instrumentima, specifičnu higijenu radnihpovršina i opreme u ordinaciji i zbrinjavanje medicinskog otpada. Prevencijaekspozicije je primarna strategija za smanjenje profesionalno nastalihinfekcija, a pored toga, za HBV, HCV i HIV infekciju propisana je postekspozicijskaprofilaksa čija primjena ima zadovoljavajuću efikasnost
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