Epulis Intraosseous

Epulis is an internal osteophyte.

Epulis is a benign tumor of the periodontal attachment that protrudes beyond the gums and involves tooth tissue in its growth.

**Location:** - most often located on the neck, more rarely - on the cutting edge of the crown or in the area of ​​the gingival groove -, along with the molar, is found on the canines, as well as on the incisors of the upper jaw. They are relatively rarely characterized by localization on contact surfaces therefore, the sign between lesions of adjacent teeth can be difficult - localized epulis are usually located near the teeth of the same name. In the presence of multi-rooted molars, they can spread to the teeth closest to them: the upper left or lower right canine, the upper right or left lower premolar or incisor.

Typically, epulses are located inside the dentition, in the interdental area. In rare cases, the tumor may reach the incisal (or labial) surface. The introduction of pathological tissues into the pulp cavity is very rare and never occurs during the development of a tumor, but is determined by morphological changes in the pulp itself after the resorption of organic tissues.

They are distinguished from dental fibromas and exostoses by their superficial adherence to the wall and lack of connection with the dental wall. It is customary to distinguish between epulis of incisors with a lip (such as an enamel knife or a thermal burn), incisors - canines or interradicular type (defined as an increased form), premolars of the upper jaw with the palate, and large molars of the lower jaw. The latest varieties of epulis cannot be considered as independent clinical and morphological types, since there is a clear transition into various stages of tumor formation with a sequential process of degeneration in the tissues of the periodontal neck and direct transition into the tissue of the dental cavity.

Surgery is used for treatment.