EPULIS

Define Epulis

Epulis is a benign tumor-like growth that occurs on the gingiva (gums) of the mouth. It is also known as a gingival fibroma.

Classify Epulis

Epulis can be classified into three main types:

• Fibrous Epulis: This is the most common type, accounting for 60-70% of cases.
• Granulomatous Epulis: This type is characterized by the presence of granulomatous inflammation.
• Giant Cell Epulis: This type is characterized by the presence of giant cells.

Fibrous Epulis

• Definition: Fibrous epulis is a benign tumor-like growth that occurs on the gingiva.
• Pathology: It is composed of fibrous connective tissue and blood vessels.
• Causes: The exact cause is unknown, but it is thought to be related to trauma or irritation.
• Clinical Features:
  • Painless swelling on the gingiva
  • Firm to hard in consistency
  • May be pedunculated or sessile
• Histological Findings:
  • Fibrous connective tissue
  • Blood vessels
  • No atypia or mitotic activity

Granulomatous Epulis

• Definition: Granulomatous epulis is a type of epulis characterized by granulomatous inflammation.
• Pathology: It is characterized by the presence of granulomatous inflammation, including giant cells and multinucleated cells.
• Causes: The exact cause is unknown, but it is thought to be related to chronic irritation or inflammation.
• Clinical Features:
  • Painless swelling on the gingiva
  • Firm to hard in consistency
  • May be pedunculated or sessile
• Histological Findings:
  • Granulomatous inflammation
  • Giant cells and multinucleated cells

Giant Cell Epulis

• Definition: Giant cell epulis is a type of epulis characterized by the presence of giant cells.
• Pathology: It is characterized by the presence of giant cells and multinucleated cells.
• Causes: The exact cause is unknown, but it is thought to be related to chronic irritation or inflammation.
• Clinical Features:
  • Painless swelling on the gingiva
  • Firm to hard in consistency
  • May be pedunculated or sessile
• Histological Findings:
  • Giant cells and multinucleated cells

Clinical Features of Epulis

• Painless swelling on the gingiva
• Firm to hard in consistency
• May be pedunculated or sessile
• May be associated with chronic irritation or inflammation

Histological Findings of Epulis

• Fibrous connective tissue
• Blood vessels
• No atypia or mitotic activity
• Granulomatous inflammation
• Giant cells and multinucleated cells

Homoeopathic Treatment of Epulis

• Arnica: For pain and swelling
• Belladonna: For inflammation and redness
• Calendula: For wound healing and tissue repair
• Graphites: For firm and lumpy growths
• Hypericum: For neuralgia and pain
• Lycopodium: For firm and lumpy growths
• Phytolacca: For firm and lumpy growths
• Silica: For firm and lumpy growths
• Sulphur: For chronic inflammation and infection