DOI: 10.36347/sjmcr.2018.v06i05.002

Pages: 294-298

Gingival epulis is a circumscribed, non-motile, circulatory hyperplastic pseudo-tumor characterized by an absence of alarming symptomatology that can be observed at any age of female predominance. Its precise etiology is not yet known, but the aetiopathogenic approach made by many authors makes it possible to distinguish it from local and general factors. The aim of this study was to present a case of gingival epulis and to discuss the arguments of the literature. A 56-year-old female CM, living in a rural area (Déguela, Kangaba Circle, Republic of Mali), whose general condition was well preserved, and having as a history dental avulsions with oral hygiene defective. In 2014, she noted the appearance of a swelling at the level of the vestibular gingiva with visible mandibular incisors preventing the closure of the mouth so in the village it was treated witch hence the primary motivation for consultation. The swelling was painless, did not bleed, but gradually increased in volume according to her despite taking amoxicillin in self-medication and the traditional treatment therefore became embarrassing. The general clinical examination was normal and in endobuccal, the lesion was localized at the mandibular, gingival, vestibular level, anterior between 34 and 42. Complementary examinations (hemogram, hemostasis assessment, blood biochemistry, retro-alveolar radiography) were without particularities. An excision plus deep curettage and suture of the lesion was performed under local anesthesia. Histological examination of the lesion confirms the diagnosis of epulis and thus differentiates it from other benign or even malignant gingival tumors. The control examination at 12 months postoperatively reveals no signs of recurrence. The clinical diagnosis of the epulis will be done in the presence of a painless mass, pediculated or sessile on the gum but especially histology. Prevention requires rigorous oral hygiene and regular visits to the dental office. The management allo