Analysis of gingival biopsies in the Gujarati population: A retrospective study

Manjunatha, Bhari Sharanesha; Sutariya, Rakesh; Nagamahita, V; Dholia, Bhavik; Shah, Vandana

doi:10.4103/0973-1482.137929

Cited by 13 publications

(30 citation statements)

References 10 publications

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“…The present study demonstrated that the overall distribution of lesions was similar to that observed in other studies [6][7][8]. The vestibule of the mouth and the lips are exposed to harmful factors, such as biting, chronic irritation, mechanical and thermal injuries and, in the case of lips, also solar radiation.…”

Section: Discussionsupporting

confidence: 89%

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Benign tumours and tumour-like lesions in the oral cavity: a retrospective analysis

Błochowiak

Farynowska

Sokalski

et al. 2019

pdia

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Introduction: Oral lesions are divided into non-neoplastic lesions, potentially malignant lesions and neoplastic lesions. More clinical data are needed to determine their helpful clinical pattern. Aim: To present the epidemiological, clinical and histopathological characteristics of the oral lesions. Material and methods: The retrospective study group comprised records of 208 patients which were reviewed according to selected epidemiological and clinical features. All the biopsy specimens were classified into: reactive lesions, precancerous lesions/potentially malignant lesions, salivary gland pathologies, benign and malignant tumours. Results: The lower lip was the most common site involved followed by buccal and vestibular mucosa. The most frequent diagnoses were fibroma, mucocele and papilloma. The predominant pathomorphological forms were nodule and bulla. The most frequent salivary gland pathology was mucocele. Fibroma was the most frequent pathomorphological diagnosis, followed by mucocele and reactive lesions such as irritation fibroma (IF) and granuloma. Conclusions: In cases of oral mucosal lesions, we propose the following algorithm: the exclusion of all odontogenic and iatrogenic causes; the detection and elimination of harmful habits, parafunctions and irritants from the oral cavity especially from the vestibule of the oral cavity and from the lips; all surgical treatment should be performed only after the proper detection and elimination of causative factors to decrease the risk of recurrence; excisional biopsy or in more diffuse lesions incisional biopsy is recommended to confirm clinical diagnosis; and consideration of other factors that can modify the clinical pattern of oral lesions, such as oral hygiene, systemic diseases, and drugs.

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Section: Discussionsupporting

confidence: 89%

“…Most of the oral lesions, with the exception of salivary gland pathologies, occurred after the age of 45, which confirms the results obtained in other studies [6][7][8]. These results may be associated with the accumulation of all harmful habits and parafunctions and iatrogenic factors in the oral cavity.…”

Section: Discussionsupporting

confidence: 89%

Benign tumours and tumour-like lesions in the oral cavity: a retrospective analysis

Błochowiak

Farynowska

Sokalski

et al. 2019

pdia

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“…Malignant neoplasms of the gingiva accounted for 7.6% of the total number of cases, which was higher than reported in the study by Manjunatha et al ( 9 ) but lower than reported in other epidemiologic data ( 5 , 8 , 10 ) and is in accordance with reports by Mario Carbone et al ( 11 ). OSCC was the only malignant neoplasm reported in gingival biopsy specimens in this study, which was in accordance with the results of many other studies ( 5 , 8 , 11 ).…”

Section: Discussionsupporting

confidence: 87%

Histopathologic analysis of gingival lesions: A 20-year retrospective study at one academic dental center

Alblowi

Binmadi

2018

J Clin Exp Dent

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BackgroundThe gingiva is part of the periodontium supporting structures surrounding the teeth and commonly involved in gingival and periodontal conditions. Assessing the distribution of gingival lesions is important for evaluating the prevalence of periodontal disease in the population to optimize the oral health care services. The purpose of this study is to report the frequency and distribution of gingival lesions biopsied from 1996–2016.Material and MethodsThis cross-sectional retrospective study retrieved data from all gingival lesions biopsied from 1996–2016 and sent to the King Abdulaziz University Dental Hospital oral pathology laboratory. Histologic sections were reviewed in a blinded manner by a certified oral pathologist to confirm the initial histologic diagnosis.ResultsOf the 1,248 oral-maxillofacial lesions, 119 (9.5%) gingival lesions were diagnosed. The mean age was 41.58 years. Gingival lesions were more prevalent in female patients than male patients (53.8%). The most common diagnoses were reactive lesions (41.2%). Pyogenic granuloma was the predominant lesion in the category (n=26, 21.8%), and followed by inflammatory conditions (24.4%), benign neoplasm (9.2%), malignant neoplasm (7.6%), epithelial lesions (7.6%), miscellaneous (5%), and immune-mediated diseases (5%). Squamous cell carcinoma was the only malignant neoplasm reported (7.6%; mean age, 57.44 years) and more common in male than female patients (2:1). Most biopsies were sent from oral and maxillofacial surgeons (55.6%) followed by general dentists (22.2%) and periodontists (12.8%).ConclusionsPyogenic granuloma was the most common gingival lesion. Squamous cell carcinoma was the only malignant lesion in which histologic examination was the definitive diagnostic measure. This study provides information about the frequencies and distributions of gingival lesions over 20 years. Key words:Gingival biopsies, retrospective, reactive lesions, oral pathology.

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“…Thus, this method can be recommended to treat pathological conditions involving bacterial etiology such as peri-implantitis and periodontal diseases. Although the expressive good results as an antimicrobial agent, further studies are needed to prove its efficiency in cases of PGCG around dental implants [7, 11, 20–22].…”

Section: Discussionmentioning

confidence: 99%

Peripheral giant cell granuloma associated with a dental implant

et al. 2019

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BackgroundPeripheral giant cell granuloma (PGCG) is an uncommon pathology that affects gingival or alveolar mucosa. Although PGCG can be associated with dental implants, little is known about this lesion and implant osseointegration as well as its etiopathogenesis and the treatments available. This study sought to report a rare case of PGCG associated with dental implant, emphasizing its clinical and histopathological aspects.Case presentationA 53-year-old man had an exophytic, reddish lesion, around a crown attached to a dental implant located in the left mandible. Radiographically, there was bone loss around the implant. After excisional biopsy, histological examination revealed a submucosal proliferation of multinucleated giant cells rendering the diagnosis of peripheral giant cell granuloma. Patient has been under follow-up for 6 months with no recurrence.ConclusionsPeri-implant lesions must be completely removed to prevent recurrence of PGCG and implant failure, even in cases suspected to be reactive. Besides, histological examination must be performed on all peri-implant reactions to achieve the appropriate diagnosis and, consequently, the best treatment and follow up.

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Analysis of gingival biopsies in the Gujarati population: A retrospective study

Cited by 13 publications

References 10 publications

Benign tumours and tumour-like lesions in the oral cavity: a retrospective analysis

Benign tumours and tumour-like lesions in the oral cavity: a retrospective analysis

Histopathologic analysis of gingival lesions: A 20-year retrospective study at one academic dental center

Peripheral giant cell granuloma associated with a dental implant

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