Fibrous Hyperplasias of the Maxilla and Mandible in the Dental Records Archive of the Department of Stomatology and Maxillofacial Surgery in Bratislava

Abstract

Aim of Study: Evaluate prevalence of fibrous hyperplasias in maxilla and mandible at the workplace. Material and Methods: Retrospective analysis in a group of 124 patients (51 men, 73 women, mean age 45.7 years, range 14 - 84 years) treated within the years 2011 and 2012 with histologically verified lesions: focal fibrous hyperplasia (irritation fibroma), epulis fibromatosa, hyperplastic fibrous gingivitis (medicamentous, hereditary or idiopathic) and fissural granuloma. Results: 12 cases of focal fibrous hyperplasia (9.68 %), 29 epulis fibromatosa (23.39 %), 45 hyperplastic fibrous gingivitis (36.29 %) and 38 epulis fissuratum (30.64 %) were found there. Medicamentous hyperplastic gingivitis was caused in 40 patients by antihypertensive drugs blocking calcium, in three cases by immunosuppressors. Fissural granulomas prevailed in patients wearing removable dentures longer than five years. Conclusion: Aetiological profile of the fibrous hyperplasias changes recently. Besides the external irritation factors also individual predisposition should be considered, especially in idiopathic forms.

Keywords

• fibrous hyperplasias
• maxilla
• mandible