Fibrous epulis with ossification: a case report and review of the literature

INTRODUCTION: Fibrous epulis with ossifi cation is a type of gingival overgrowth that is occasionally encountered by dental practitioners. It should be managed carefully, with deep understanding of its exacerbating factors, to reduce the risk of gingival recession and recurrence. OBJECTIVE: To report the characteristics and management of a clinical case of fi brous epulis with ossifi cation, in the anterior maxillary region on a young female patient, and present a review of the literature. CASE REPORT: A 14-year-old healthy female patient was referred by her general dentist to the Periodontology clinic at the Faculty of Dentistry, University of Otago, Dunedin, New Zealand, for the treatment of a lesion on the buccal gingiva of her right maxillary lateral incisor. Th e lesion initially presented as an asymptomatic non-healing ulcer, which progressed into a pedunculated swelling over a time frame of eight weeks. Th e management of this lesion involved excisional biopsy using surgical scalpel and diode laser, followed by a strict follow-up protocol and oral hygiene reinforcement. CONCLUSION: Review of this patient showed uneventful healing, with minimal gingival recession and no signs of recurrence. Report from histology found that the lesion was consistent with fi brous epulis with ossifi cation. Th is case highlights on the importance of reviewing ulcerative lesions to ensure complete resolution or facilitate appropriate timely referral.