Comparison of conventional surgical techniques combined with periodontal flap surgery and electrosurgery in the management of epulis fibromatosa

Perbandingan teknik pembedahan konvensional kombinasi bedah flap periodontal dan electrosurgery pada penatalaksanaan epulis fibromatosa

Abstract

Epulis is a tumour-like enlargement of the gingiva originating from the periodontal connective tissue, generally caused by chronic irritation, usually growing on the anterior teeth, reducing aesthetics, confidence and lip function so that treatment is ne-cessary. Various epulis treatment techniques with advantages and disadvantages of each treatment technique. This article com-pares the management of fibromatous epulis using a scalpel combined with periodontal flap surgery and electrosurgery through the presentation of several cases. Clinical examination showed no residual epulis, marginal gingiva at the epulis area was slight-ly reddish and the healing process went well in cases 1 and 2 compared to case 3. Pathological examination results showed that the tissue was covered by epidermis with pseudoepithelomatous hyperplasia, showed no malignancy and the diagnosis was fibromatous epulis. It was concluded that the management of fibromatous epulis showed good results with surgical technique using OFD combined scalpel compared with electrosurgery at 1 week control.