DOI: 10.36347/sjds.2018.v05i04.003

Pages: 174-178

Epulis is a benign hyperplasia of the oral soft tissues. Most of cases represent a reactive hyperplasia as a direct result of the presence of some chronic irritations due to dental calculus or other iatrogenic factors. In the case of non-regression of this gingival growth, after non-surgical periodontal treatment, surgical excision can be the treatment of choice. However this approach may result in an esthetic and functional soft tissue defect, especially in the maxillary anterior area which requires adequate management is necessary. This report describes the case of a 51 years old female, with gingival enlargement in the maxillary anterior area, since one year. The treatment offered consisted of an excisional biopsy with immediate soft tissue grafting to prevent esthetic complications, concurrently with the biopsy procedure. Tow years later, the surgical areas were healthy and stable. The treatment of chronic infectious, suppressions of local irritations and maintenance of regular followup are important factors to prevent longterm recurrence of the gingival overgrowth.