Reactive lesions of oral cavity: A survey of 100 cases in Eluru, West Godavari district

Abstract

Aim:Reactive lesions of the oral cavity are associated with injuries of soft tissue and have high prevalence rates and different involvement patterns in different parts of the world. This study reviews the pathogenesis and analyzes demographic data, histopathological features and compares the clinico-pathologic profiles of the diseases to those previously reported.Materials and Methods:Patient records of the Department of Oral Pathology during one and half year period were reviewed for diagnosis of oral connective tissue reactive hyperplastic lesion. Data including the area involved and the type of lesion were collected and analyzed using descriptive statistical methods and ANOVA test.Results:100 cases (mean age 36 years, male:female ratio 1:2) matched study criterion. The most common affected site was mandibular anterior region and buccal mucosa and the most common lesion was pyogenic granuloma and focal fibrous hyperplasia. All the lesions were more common in the mandible than in the maxilla. PGCG was seen to be equally distributed in males and females.Conclusion:Reactive hyperplastic lesions of the oral connective tissue are more common in females and the majority of the lesions occur in gingiva. This study supports previous assertions that PG and FFH may occur on any oral mucosal site with special preference for the mandibular anterior gingiva and buccal mucosa while PGCG and POF occur exclusively on the mandibular gingiva.

Structure, Localization of Tumor and Tumorlike Diseases of the Oral Cavity

“…Фибромы полости рта диагностируют в 13,9-45,2% чаще у женщин в возрасте от 16 до 59 лет, средний возраст -37-39 лет [5,6,12,16]. Фиброма чаще локализуется на альвеолярном отростке челюсти [5].…”

“…Термин «эпулис» используют для описания любой доброкачественной локализованной гипер-плазии десны, пародонта, надкостницы в ответ на местное раздражение [12]. При гистологическом исследовании такой гиперплазии определяют пери-ферическую оссифицирующую фиброму (оссифи-цирующий фиброзный эпулис), периферическую фиброму (фиброзный эпулис), периферическую гигантоклеточную гранулему (гигантоклеточный эпулис) [7,12].…”

“…При гистологическом исследовании такой гиперплазии определяют пери-ферическую оссифицирующую фиброму (оссифи-цирующий фиброзный эпулис), периферическую фиброму (фиброзный эпулис), периферическую гигантоклеточную гранулему (гигантоклеточный эпулис) [7,12]. В современной литературе при-сутствует значительная путаница в номенклатуре разных форм гингивальных гиперпластических доброкачественных изменений [7].…”

Oral pyogenic granuloma: one reactive hyperplastic lesion of the gingiva

“…17 Thus pyogenic granuloma is one of the member of reactive hyperplastic lesions, those can be classified broadly into 4 groups such as: 1-fibrous hyperplasia, 2-pyogenic granuloma, 3-peripheral ossifying fibroma, 4-peripheral giant cell granuloma. [10][11][12][13][14][15][16][17] On the basis of its clinical presentation and histologic appearance, the clinical term "pregnancy tumor is compared to pyogenic granuloma and other variety of hyperplastic lesions to check the correlation exists if any between hyperplastic lesions and pregnancy. Clinical and behavioural features of pregnancy tumors diagnosed microscopically as pyogenic granuloma during pregnancy, because it describes a distinct lesion not on the basis of histologic features but on etiology, biologic behavior, and treatment protocol.…”

“…Peripheral giant cell granuloma and peripheral ossifying fibroma occur exclusively on the mandibular gingiva. 11 Localized hyperplastic lesions of the gingiva (epulides) were classified into five groups: pyogenic granuloma, calcifying fibroblastic granuloma, fibrous hyperplasia, peripheral giant cell granuloma and denture hyperplasia. Pyogenic granuloma was found to be the most common lesion on the gingiva and occurring in younger patients.…”