Article: Volume 41 Number 8 Page 698 - October 2014

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  Dent Update 2014; 41: 698-706

Oral medicine:  Localized Gingival Overgrowths – Differential Diagnosis for Dental Practitioners

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Abstract: Localized gingival overgrowths (LGOs) encompass a category of oral lesions that are commonly encountered in dental practice. The authors report three cases of gingival epulides and also review the various conditions (both local and systemic) in which LGOs have been reported to occur. A flowchart is also proposed for a systematic approach to aid diagnosis. Although most epulides are hyperplastic lesions, rare conditions clinically identical to inflammatory or reactive LGOs do occur. Their innocuous appearance may frequently deceive the dental practitioner.

Clinical relevance: Knowledge of various lesions that could present as an LGO is necessary and significant, as prompt diagnosis and specialist referral influences the treatment plan.

Author notes: Sathya Kannan, BDS MDS (Oral Pathology), MFDS RCSEd, Associate Professor, Academic Unit of Craniofacial Clinical Care, Arishiya Thapasum, BDS, MDS (Oral Medicine and Radiology), Senior Lecturer, Academic Unit of Craniofacial Clinical Care, Nanditha Suresh, BDS MDS (Periodontology), Associate Professor, Academic Unit of Adult Dental Health, Senthilkumar Muthusamy, BDS MDS (Periodontology), Associate Professor, Academic Unit of Adult Dental Health, Balamanikandasrinivasan Chandrasekaran, BDS MDS (Oral Surgery), Senior Lecturer, Academic Unit of Craniofacial Clinical Care, Faculty of Dentistry, AIMST University, Bedong 08100, Malaysia.

Objective: To review the differential diagnosis of localized gingival overgrowths.

ADG