Management of Fibrous Epulis of Anterior Maxillary Teeth: A Case Report of a 1.5-Year-Old Lesion

Abstract

Background: Epulis is a gingival hyperplasia (tumor-like) that originates from periodontal connective tissue. It can be caused by many factors such as a chronic local irritation. Epulis that grows on the anterior maxilla area can be inconvenient because it disrupts the aesthetics and also the function of the teeth. Therefore, it has to be completely removed by surgery. Objective: To correct the condition of epulis by excision and gingival contouring for aesthetic need. Case Report: A 30-year-old female patient presented with a complaint of a mass on the gum of the anterior teeth on her upper jaw that made her unconfident to smile. The mass had been there for 1.5 years. Conclusion: The condition of epulis can be corrected by excision procedure and by removing the cause of the epulis (sub-gingival calculus). The aesthetic result can be obtained by gingival contouring after the excision. Keywords: epulis, fibrous epulis, gingival hyperplasia, excision, gingival contouring, gingival biopsy