Localized gingival enlargements. A clinicopathological study of 1187 cases

Abstract

BackgroundTo describe the incidence, demographic and clinical features of 1187 localized gingival enlargements.Material and Methods1187 cases of localized gingival enlargements diagnosed during a 20-year period were retrospectively collected. The patients’ gender and age, as well as the main clinical features of the tumors were retrieved from the biopsy report forms.ResultsThe 1187 localized gingival enlargements represented 6.23% of 19.044 biopsies performed during the study period. 756 females and 427 males were affected with a mean age of 41.92±19.68 years. The lesions appeared as smooth (52.4%), granular (17.9%) or rough (13.16%) tumors, elastic (50.73%) or soft (29.56%) in consistency and red (60.8%), normal (28.58%) or white (8.17%) in color. The majority of the lesions (85.17%) were reactive in origin with pyogenic granuloma being the most common. In 1.1% of the cases a diagnosis of malignant lesion was rendered.ConclusionsAll localized gingival enlargements should be submitted for microscopic examination because in approximately 1% of cases they are malignant. Key words:Localized gingival enlargements, gingival mass, gingival lesions, gingival reactive lesions, gingival malignant lesions.

Investigation of Biopsied Non-Plaque-Induced Gingival Lesions in a Turkish Population: A 5-Year Retrospective Study

“…Our results are inconsistent with previous studies due to its infectious pathology. 6 , 9 , 19 , 20 Hemangioma, another benign neoplasm, was detected at a rate of 1.84%, and this rate is slightly higher than other studies. 6 , 19 …”

Clinicopathological evaluation of focal reactive lesions of the Gingiva

“…The binding of oestrogen to its receptor may stimulate connective tissue proliferation within the gingiva 14 . A predilection for the the anterior regions of the jaws (incisor-canine) compared with posterior areas (premolar-molar) has also been reported for FRGL 15 . The anterior region predilection may be partly explained by the tendency of supragingival calculus to occur predominantly in the anterior mandibular jaw 16 .…”

Reação de corpo estranho em tecido gengival: relato de caso

“…No estudo realizado por Tamiolakis (2018) no Irã, foi analisado 1187 casos de aumento gengivais localizados e identificou que a maioria das lesões foram de origem reativa, sendo o granuloma piogênico o mais comum. Corroborando com este estudo, Bello e Qannam (2022) também avaliaram os casos de lesões gengivais em uma instituição na Arábia Saudita, observando que a maioria eram lesões reativas ou hiperplásicas, e o diagnóstico mais prevalente foi de granuloma piogênico.…”

“…Em contrapartida, Lakkam et al (2020) analisaram cortes microscópicos dos casos do Departamento de Patologia Oral e Maxilofacial de Bareilly, na Índia, e identificaram a maior prevalência de hiperplasia fibrosa dentre os casos de lesões reativas da mucosa oral. Assim como, no estudo observacional de 10 anos de Reddy et al (2012) Em relação a faixa etária, o pico de incidência foi relatado entre a segunda e a sétima década de vida (Abbeneh, 2006;Zang et al, 2007;Kamath et al, 2013;Kadeh, Saravani e Tajik, 2015;Tamiolakis, 2018;Lakkam et al, 2020;Loth-Elahi, Farzínia e Jaafari-Ashkavandi, 2022). Dessa forma, pode-se inferir que as lesões reativas e os processos proliferativos não neoplásicos podem ocorrer em diversas faixas etárias.…”