Rapidly Recurrent Fibrous Gingival Enlargement in a Geriatric Patient: Clinical Significance of Recurrence Timing
Abstract
Localized gingival enlargement (epulis) demonstrates variable recurrence rates, yet the clinical significance of recurrence timing has received limited attention. Regrowth may occur gradually due to persistent irritation or more rapidly when residual periodontal ligament or periosteal tissue remains after excision. A 74-year-old female with systemic comorbidities presented with fibrous epulis in the lower left anterior region. Histopathological examination following initial periodontal therapy and gingivectomy confirmed the diagnosis. The lesion recurred at the same site within 4 months. Management was modified to include open flap debridement with thorough curettage and repeat excision, after which no recurrence was observed during 1 year of follow-up. Early relapse may reflect persistence of the residual lesion rather than irritation-related regrowth. This case suggests recurrence timing may assist clinicians in considering the extent of surgical management and potentially reduce repeated interventions, particularly in geriatric patients.
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BibTeX
@article{dwiyanti2026rapidly,
title = {{Rapidly Recurrent Fibrous Gingival Enlargement in a Geriatric Patient: Clinical Significance of Recurrence Timing}},
author = {Stephani Dwiyanti and Mora Octavia and Dyonesia Ary Harjanti},
journal = {Contemporary Clinical Dentistry},
year = {2026},
month = jul,
doi = {10.4103/ccd.ccd_175_26},
url = {https://doi.org/10.4103/ccd.ccd_175_26},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - Rapidly Recurrent Fibrous Gingival Enlargement in a Geriatric Patient: Clinical Significance of Recurrence Timing
AU - Stephani Dwiyanti
AU - Mora Octavia
AU - Dyonesia Ary Harjanti
PY - 2026
DA - 2026/07/01
JO - Contemporary Clinical Dentistry
DO - 10.4103/ccd.ccd_175_26
UR - https://doi.org/10.4103/ccd.ccd_175_26
AB - Localized gingival enlargement (epulis) demonstrates variable recurrence rates, yet the clinical significance of recurrence timing has received limited attention. Regrowth may occur gradually due to persistent irritation or more rapidly when residual periodontal ligament or periosteal tissue remains after excision. A 74-year-old female with systemic comorbidities presented with fibrous epulis in the lower left anterior region. Histopathological examination following initial periodontal therapy and gingivectomy confirmed the diagnosis. The lesion recurred at the same site within 4 months. Management was modified to include open flap debridement with thorough curettage and repeat excision, after which no recurrence was observed during 1 year of follow-up. Early relapse may reflect persistence of the residual lesion rather than irritation-related regrowth. This case suggests recurrence timing may assist clinicians in considering the extent of surgical management and potentially reduce repeated interventions, particularly in geriatric patients.
SN - 0976-237X
SN - 0976-2361
ER -