Journal of Oral Science Research ›› 2025, Vol. 41 ›› Issue (7): 633-636.DOI: 10.13701/j.cnki.kqyxyj.2025.07.016

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Surgical Excision of Peripheral Fiant Cell Granuloma: A 2-year Follow-up Case Report

ZHANG Aijuan1,2, ZHANG Maoqi1,3#, CAO Zhengguo1,4*, WANG Xiaoxuan1,4*   

  1. 1. State Key Laboratory of Oral & . Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Periodontics and Oral Mucosa, Jinan Stomatological Hospital, Jinan 250001, China;
    3. Department of Periodontology, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, China; 4. Department of Periodontology, School & Hospitalof Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-06-25 Online:2025-07-28 Published:2025-07-24

Abstract: This article reports a 2-year follow-up of a gingival epulis excision case, exploring surgical approaches selection and recurrence risks. The choice of surgical approaches requires comprehensive evaluation of keratinized tissue width (KTW), potential pathological types, and local irritants.For lesions with intact epithelium, complete involvement of keratinized gingiva, or postoperative KTW<2 mm, partial gingival epithelium preservation may be considered.However,vigilance is required for pathological types with high recurrence tendencies, (e.g., giant cell granuloma). The study emphasizes systematic management of gingival fibromas, highlighting that preoperative completion of periodontal therapy, elimination of local irritants, and long-term maintenance constitute the cornerstone of recurrence control.

Key words: epulis, giant cell, recurrence