Retrospective analysis of the clinical features of 530 cases of reactive lesions of oral cavity

Abstract

Background: Most common localized reactive lesions of oral cavity are focal fibrous hyperplasia, pyogenic granuloma (PG), irritational fibroma, peripheral giant cell granuloma (PGCG), peripheral ossifying fibroma (POF), fibro-epithelial hyperplasia/polyp, inflammatory fibrous hyperplasia and inflammatory gingival hyperplasia. Clinically, these reactive lesions often present diagnostic challenges because they mimic different groups of pathologic processes. The aim of this paper is to document the occurrence, distribution of clinical features of reactive lesions of oral cavity in 15 years of clinical practice in Raichur, Karnataka. Materials and Methods:This study is a retrospective archival review of 530 cases of focal reactive lesions of the oral cavity. The cases for inclusion in this study were PG, PGCG, POF, irritational fibroma, fibro-epithelial hyperplasia/polyp, inflammatory fibrous hyperplasia and inflammatory gingival hyperplasia. Clinical data of each patient such as age, gender, location, and treatment were retrieved from the records. Results: Inflammatory gingival hyperplasia was the most prevalent lesion and followed by PG. The age ranged from 7 to 63 years, with a mean age of 40.5 years. 261 cases were males and 269 cases were females. Male to female ratio being 1:1. With the exception of PG and inflammatory gingival hyperplasia, all reactive lesions were more common in males. Gingiva with 470 cases was the most frequent site of reactive lesions, followed by buccal mucosa and palate. Conclusion: Reported results on the age, gender, and location of the individual types of lesions are not consistent in different studies. Some of the differences may be attributed to the geographic or ethnic factors. Nevertheless, there is need for more epidemiological studies to establish a better and adequate program to educate general population. Inaddition an early diagnosis and elimination of such lesions may minimize possible dentoalveolar complications.

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

“…Ala Aghbali et al13, in their study of 197 cases of reactive hyperplastic lesions reported a mean age of 37.68 ± 18.97 years which was similar to our mean age of 37.7±21.1 yrs. Other studies have reported higher mean ages (Between 40–45 years) for oral RHLs15,16. It is also important to highlight that the highest prevalence of the lesion in this study was found in the age group 9–29 years old; while the oldest age groups 70–89 years and >90 years, had the lowest prevalence.…”

Reactive lesions of oral cavity: A retrospective study of 659 cases

“…In the present study, the most common site recorded was buccal mucosa at the line of occlusion and similar finding is noted by Hunasgi et al . [ 4 ] [ Figure 1 ]. Clinically, FIBs mimic various lesions such as giant cell FIB, neuro FIB, PGCG and can be differentiated from the conventional FIBs with the help of histologic appearance.…”

“…[ 3 ] Even though the lesion is benign, it has a tendency of recurrence with incomplete excision and inability to remove local irritants. [ 4 ] The usage of CO 2 laser is preferred over surgical excision with minimal recurrence rate followed by maintenance of oral hygiene and regular follow-ups. [ 5 ] This study reviews, analyzes, and compares the demographic data, histopathological features and discusses the treatment and prognosis of RLs.…”

Rare Root Morphology of a Maxillary Central Incisor Associated With Gingival Hyperplasia

“…The distinction is made based on careful examination of the tissue mass, to determine if it is connected to the pulp or gingiva. In a study on 530 cases of focal reactive lesions of the oral cavity Hunagsi et al 8 found that inflammatory gingival hyperplasia was the most prevalent lesion with 51% of the cases. The extent of the root curvature is one of the most important variables that could lead to instrument fracture during endodontic treatment.…”