Peripheral Tumors of the Jaws
The word tumor has been defined as any swelling or morbid enlargement. A tumor is a phase of an inflammatory process and it is used to describe neoplasms or blastomata. These tissue masses occurring within the buccal cavity should be of particular interest to members of the dental profession because they are often the first to be consulted by the patient. This paper will be limited to the discussion of tumors located on the peripheral tissues and commonly known as epuli. The large group of centrally located tumors which, in the course of time may involve the peripheral tissues, will not be considered.
The common tumors of the peripheral tissues of the buccal cavity are inflammatory in origin. Infections such as actinomycosis, tuberculosis, and syphilis which are known as the granulomatous diseases may be characterized by tumor or swelling of the peripheral tissues of the mouth. The possibility of their presence should be considered in the differential diagnosis of all oral lesions.
Undoubtedly, the most common peripheral tumor of the jaws is the simple hypertrophy or tumor-like overgrowth which is known as the epulis granulomatosa or granuloma pyogenicum. These simple tumors exhibit characteristics of both true inflammation and true blastoma. They may occur anywhere in the mouth but they are found most frequently on the marginal gingiva. They vary in size and may have normal epithelial covering. They may occur in the socket of a recently extracted tooth where a foreign body, a tooth fragment, or usually a small bony. . .