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  • Title: Gingival enlargements and localized gingival overgrowths.
    Author: Savage NW, Daly CG.
    Journal: Aust Dent J; 2010 Jun; 55 Suppl 1():55-60. PubMed ID: 20553245.
    Abstract:
    Gingival enlargements are a common clinical finding and most represent a reactive hyperplasia as a direct result of plaque related inflammatory gingival disease. These generally respond to conservative tissue management and attention to plaque control. However, a small group are distinct from these and whilst they also represent a reactive tissue response, this occurs at the level of the superficial fibres of the periodontal ligament. These epulides grow from under the free gingival margin and not as a result of a primary inflammatory gingival enlargement. This distinct aetiopathogenesis separates this group of lesions both in terms of their specific clinical presentation and behaviour and their propensity for recurrence if managed inadequately.
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