12/10/2017
Epulis is a relatively common tumor-like lesion of the gingival. Epulis is considered to be a reactive massive lesion rather than true neoplasia, usually asymptomatic with a variable growth rate. Reactive lesions are swellings that develop in response to chronic and recurring tissue injury, which stimulates an exuberant or excessive tissue response.
Epulis is classically categorized into three different subtypes
• Fibrous epulis
• Granulomatous epulis and
• Giant cell epulis.
Histologically, intact lesion consists of bundles of collagen fibers covered with keratinized squamous cell epithelium. When traumatized, the lesion contain inflammatory infiltrate and ulcerated area will be covered with fibrin and organisms from the oral flora.They usually appears in the interdental papilla as the result of local irritation (calculus, bacterial plaque, caries or restorations with irregular margins).
Fibrous epulis: This epulis most commonly occurs on the gingiva near the front of the mouth between two teeth. It may be sessile or peduncullated and is composed of fibrosed granulation tissue. Fibrous epulides are firm and rubbery, and pale pink in color. Over time, bone may form within the lesion at which point the term peripheral ossifying fibroma may be used
Epulis Symptoms
• Growth of the teeth is quite firm.
• The tumor’s color is very close to the color of the gums that is why it is hard to detect a growing Epulis.
• The tumor starts with a smooth and flat surface.
• You might see a stalk like figure on the gums.
• Drooling
• Loss of appetite
• Bad breath
• Bleeding gums, particularly the area that is most affected by the Epulis tumor.
• Difficulty in breathing.
Preventing Epulis:
It might be helpful to maintain a clean and bacteria free mouth by brushing your teeth regularly and use mouthwash to rinse off the other particles that was not removed during brushing. Maintaining a good oral hygiene may not be proven to cure Epulis but it is definitely one way to remove and kill the bacteria that may be present inside. Deep oral cleaning of the teeth to make sure that every single tooth was not able to catch the bacteria that came with the tumor.
HOMOEOPATHIC MANAGEMENT:
For benign tumors[Epulis], homeopathy is considered as the most secure, highly responsive and less costly type of treatment against all other treatments and it is used by a large number of individuals around the world. The medicines that homeopathy uses are made after taking the patient’s entire history and body type in mind. It eliminates the disease or condition from its roots. There are a few medications that are accessible in homeopathy to treat these benign tumors. They are as follows:
Hecla Lava . This is a most useful remedy for the treatment of bony tumors affecting the upper jaw especially. It may be necessary to proceed through rising potencies to achieve best results.
Calc. Fluor. Indicated for the more fibrous and less bony tumor. This a a very deep-acting remedy and should not be repeated too frequently. One dose per week for two months should be sufficient to obtain favorable results.
Calc. Carb. A good remedy for the fat or obese pet, especially young subjects. There may be a generalised skeletal weakness when this remedy is needed.
Silicea . This remedy has somewhat of a reputation in the treatment of bony tumors and should be considered if Hecla fails to yield satisfactory results.
