Giant osteogenic maxillary epulis: A case report

Abstract

Epulis refers to a benign localized mass occurring on the gingiva, usually as a result of reactive or chronic inflammation.We report a case of giant epulis osteoplastica involving the right maxillary gingiva. A 42-year-old man was referred to our hospital with swelling of the right maxillary gingiva. He had first noticed the mass 4 months prior to visiting our hospital.The patient had received hemostatic treatment at a local dental clinic several times due to bleeding from the mass.Intraoral examination showed a pedunculated, elastic-hard, well-defined mass on the right maxilla. Computed tomography revealed a mass growing from the right maxillary gingiva, and a bone-like radiopaque image was found inside the lesion.Tumor excision was performed under general anesthesia. The specimen was 70×50×28mm in size, and histopathological examination confirmed epulis osteoplastica. The patient has shown no recurrence during 3 years and 3 months of postoperative follow-up.