Prevalence of reactive hyperplastic lesions of the gingiva in the Western Indian population

Patil, Santosh; Maheshwari, Sneha; Khandelwal, Suneet; Wadhawan, Richa; Somashekar, Santosh Bankur; Deoghare, Abhijeet

doi:10.4103/0975-8844.132585

Cited by 7 publications

(18 citation statements)

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“…Histologically, reactive lesions are composed of exuberant fibrous connective tissue within which other components such as; vascular channels, multinucleated giant cells, inflammatory cells and bony or cementum-like calcifications may be found2,3. In a low grade prolonged trauma, inflammation (which is the response of the body to insults) may result in the formation of granulation tissue which is characterized by the presence of endothelial cells, chronic inflam-matory cells (sometimes with inclusion of neutrophils), and proliferating fibroblasts-presenting clinically as an overgrowth called reactive hyperplasia4,5. These lesions are non-neoplastic but a chronic process in which an exuberant tissue response occurs following repair6,7.…”

Section: Introductionmentioning

confidence: 99%

Pattern of distribution of reactive localised hyperplasia of the oral cavity in patients at a tertiary health institution in Nigeria

Soyele¹,

Ladeji²,

Adebiyi³

et al. 2019

Afr H. Sci.

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Background Reactive localized hyperplastic lesions of the oral cavity (RHLs) are relatively common peripheral lesions which present as a range of clinically similar lesions at dental centers. Diagnosis can be challenging if dentists are unfamiliar with their clinicopathological across various populations. Objective This study reviews the pattern of distribution of RHLs of the oral mucosa in a hospital- the Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife. Materials and methods We reviewed 10 years data from the archives of the Department of Oral Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University, Nigeria. Information on RHLs were extracted and recorded on standardized data forms and analyzed using STATA. Results The most common lesions were pyogenic granuloma (43.7%) and focal fibrous hyperplasia (39.7%), respectively. RHLs were found to be more frequent in women (66.7%) than men (33.3%). The most common locations of involvement was the gingivae (84.6%), and lesions were more common in the 9–29 year age group and the mean age was 37.7 (±21.1) years. The relationship between age group and reactive lesions was however not statistically significant. Conclusion The major benefit of this study is an improved knowledge of the frequency and distribution of oral reactive lesions in sub-Saharan Africa which may be highly beneficial when establishing a diagnosis and treatment plan in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Pattern of distribution of reactive localised hyperplasia of the oral cavity in patients at a tertiary health institution in Nigeria

Soyele¹,

Ladeji²,

Adebiyi³

et al. 2019

Afr H. Sci.

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“…The treatment of choice of the fibrous epulis is the complete surgical excision. Recurrence can occur if oral hygiene maintenance is not followed [6][7][8][9]. None clinical signs of recurrence were seen been in our case after one month of follow-up.…”

Section: Discussionmentioning

confidence: 67%

“…Fibrous epulis, also designed peripheral fibroma or focal fibrous hyperplasia, represents the most common reactive gingival lesions and accounts for 41% to 61% of the localized enlargements [6,7]. This epulis affects both genders but occurs at a higher rate in females [6,7]. While Ramu and Rodrigues showed a male predominance [8].…”

Section: Discussionmentioning

confidence: 99%

“…While Ramu and Rodrigues showed a male predominance [8]. It may occur at various ages, but exhibits a peak incidence between the second and third decade [6,7,9]. About the pathogenesis, the periodontal ligament has been considered as the origin of the lesion because of the exclusive occurrence of the fibrous epulis in the gingiva (interdental papilla) and the possible presence of oxytalan fibers within the mineralized matrix [9].…”

Section: Discussionmentioning

confidence: 99%

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Fibrous Epulis: The Reactive Gingival Enlargement to Excise or Not to Excise

2020

JODH

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The volume thickening of soft tissue covering the alveolar ridges, designed gingival enlargement, is one of the frequent findings in clinical practice. However, they fail under varied presentations and their distinction allows a clinical diagnosis and defines an appropriate treatment to reduce recurrence. Among the diverse types of enlargement, fibrous epulis is the most common one. It is a localized uniform gingival overgrowth caused by tissue oedema and inflammatory hyperplasia in response to local irritations. This report outlines a case of fibrous epulis concerning a 56 years old male patient, in our periodontology department. A careful medical history, examination of the gingival, periodontal health status, and its reevaluation were assessed. Conventional periodontal treatment has been sufficient to minimize the gingival size. After an excisional biopsy, the histopathological examination was the determinants tool to accurate the diagnosis of fibrous epulis. Patient motivation and compliance during and after therapy has been a critical factor in the success of periodontal treatment and a key to prevent the recurrence of such lesions.

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“…[ 16 ] observed the prevalence of 12.6% in North Indian population which was comparatively low when compared with the present study (20.5%) and study by Patil et al . [ 17 ] in Western Indian population (17.4%). The prevalence of reactive lesions of gingiva is reported to be common with peripheral fibroma being the most common category (56%–61%), followed by PG (19%–27%), POF (10%–18%), and PGCG (1.5%–7%) based on over 3000 cases studied in literature.…”

Section: Discussionmentioning

confidence: 99%

Osteopontin expression and clinicopathologic correlation of oral hyperplastic reactive lesions: An institutional 6-year retrospective study

Narwal

Bala

2017

J Oral Maxillofac Pathol

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Background and Objective:Reactive proliferations of oral cavity comprise pyogenic granuloma (PG), fibrous hyperplasia (FH), peripheral ossifying fibroma (POF), and peripheral giant-cell granuloma (PGCG). They often pose diagnostic challenges due to their overlapping clinical and histopathological features. This study was conducted to determine the frequency and clinicopathological correlation of reactive hyperplastic lesions in the oral cavity reported in our institute and compared it with other previous studies. Further evaluation of osteopontin (OPN) expression in normal gingival tissue and different types of focal reactive lesions was also done.Materials and Methods:Data of all reactive hyperplasias were retrieved, reviewed, and analyzed for age, gender, clinical presentation, and site of location. Presence and distribution of OPN were assessed using immunohistochemistry in these reactive lesions.Results:Two hundred and forty-eight reactive lesions were comprised of FH (38%), PG (23%), POF (13%), and PGCG (7%). FH was more common in males (55%) whereas other reactive lesions were more in females (68%–73%). The most frequently involved site was gingiva (59%), and most common clinical presentation was sessile growth on gingiva. OPN expression was minimal in normal gingiva. Few cases of FH, PG, and all cases of POF showed positivity for OPN in inflammatory cells, stromal cells, extracellular matrix, and in calcifications.Conclusion:Reactive hyperplastic lesions of oral cavity are mucosal responses to chronic low-grade irritation caused by plaque, calculus, and any other irritant. It is helpful to know their frequency and presentation as their early identification enables accurate patient evaluation and management.

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Prevalence of reactive hyperplastic lesions of the gingiva in the Western Indian population

Cited by 7 publications

References 0 publications

Pattern of distribution of reactive localised hyperplasia of the oral cavity in patients at a tertiary health institution in Nigeria

Pattern of distribution of reactive localised hyperplasia of the oral cavity in patients at a tertiary health institution in Nigeria

Fibrous Epulis: The Reactive Gingival Enlargement to Excise or Not to Excise

Osteopontin expression and clinicopathologic correlation of oral hyperplastic reactive lesions: An institutional 6-year retrospective study

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