Published in October 1995
Fibromatous epulis: deep surgical excision
GUSTAVO PETTI
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site www.gustavopetti.it
Key words:
Epulis, amniotic membrane, osteoplastics, osteotomy

 

Fig. 1
Fibromatous epulis in the region of 2.2 and 2.3.
Fig. 2 and Fig. 3
The periodontal probe reveals a 14 mm pocket, showing its profound insertion in the deep periodontium as well as in the periodontal ligament.
Fig. 4
The massive involvement of 2.1, 2.2 and 2.3 is clearly visible.
Fig. 5
Following scaling and curettage, the epulis appears to be much less inflamed and can thus be attacked surgically.
Fig. 6
Surgical avulsion of 2.1 is performed since the periodontal ligament of 2.1 is undoubtedly involved in the origin of the epulis.
It is unfortunate to have to sacrifice such a sound tooth, but the operation for the surgical removal of the periodontal tumour must be radical.
Fig. 7 and Fig. 8
Different stages in the removal of the epulis.
Fig. 9 and Fig. 10
The excised tumour and, respectively, after bioptic samples taken from different areas of the tumour, the tumour tissue is placed in a sterile test tube in formaldehyde for immediate delivery to the laboratory for confirmation of the histopathology.
Fig. 11
Bone tissue following excision of the epulis.