Work

Rapidly Recurrent Fibrous Gingival Enlargement in a Geriatric Patient: Clinical Significance of Recurrence Timing

Year: 2026

Type: article

Abstract: Localized gingival enlargement (epulis) demonstrates variable recurrence rates, yet the clinical significance of recurrence timing has received limited attention. Regrowth may occur gradually due to persistent irritation or more rapidly when residual periodontal ligament or periosteal tissue remains after excision. A 74-year-old female with systemic comorbidities presented with fibrous epulis in the lower left anterior region. Histopathological examination following initial periodontal therapy and gingivectomy confirmed the diagnosis. The lesion recurred at the same site within 4 months. Management was modified to include open flap debridement with thorough curettage and repeat excision, after which no recurrence was observed during 1 year of follow-up. Early relapse may reflect persistence of the residual lesion rather than irritation-related regrowth. This case suggests recurrence timing may assist clinicians in considering the extent of surgical management and potentially reduce repeated interventions, particularly in geriatric patients.

Source: Contemporary Clinical Dentistry

DOI: 10.4103/ccd.ccd_175_26

Authors: Stephani Dwiyanti, Mora Octavia, Dyonesia Ary Harjanti

Institution: Atma Jaya Catholic University of Indonesia

Language: English

Topic: Oral and gingival health research

Subfield: Periodontics

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $250