A Progressive Growth of Epulis: Calcifying Fibroblastic Granuloma in an Adolescent Female with Periodontitis—A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: The purpose of this case report is to describe the clinical presentation and management of a progressive calcifying fibroblastic granuloma (CFG), or epulis located at the maxillary posterior region of an adolescent female with periodontitis. This case report describes a 17-year-old female, who presented with a recurrent CFG. Clinical and radiographic examinations revealed a localised gingival enlargement associated with a bony defect. Management included excisional biopsy of the lesion, open flap root surface debridement, and subsequent histopathological analysis. Histopathological analysis of the biopsy specimens revealed ulcerated hyperplastic parakeratinised stratified squamous epithelium, and fibrous connective tissue with some areas of calcifications, consistent with a diagnosis of CFG. The surgical site healed without mucogingival deformities and recurrence during the 12-month review. The recurrence rate of gingival enlargement can be reduced by complete excision along with open flap root surface debridement. Effective patient plaque control and regular periodontal therapy are critical for maintaining long-term treatment outcomes.
Source: Malaysian Dental Journal
Authors: Heng Wei Chei, Khor Zhen Yeung, Noratikah Awang Hasyim
Institutions: Ministry of Health, Sultan Abdul Halim Hospital
Language: English
Subfield: Pharmacy
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4411716895