Swellings affecting oral and peri-oral tissues

Question 1

Soft tissue inflammatory

Answer 1

Fibroepithelial polyp, squamous papilloma, epulides, pyogenic granuloma, drug-induced gingival hyperplasia

Question 2

Fibroepithelial polyp

Answer 2

• Very common lesion occurring over a wide age-range
• Clinically: Arises mainly in the buccal mucosa (particularly along the occlusal plane), lips and tongue. Presents as a firm, pink, painless, pedunculated/sessile polypoid swelling varying in size from a very mm to a cm or more in dimension.
• Cause: minor trauma is thought to be an initiating factor due to trauma from teeth/dentures. Occasionally the surface is white due to frictional keratosis.
• Diagnosis: through clinical examination
• Management: By surgical excision. To reduce the likelihood of recurrence, any source of irritation should be corrected.

Question 3

Squamous cell papilloma

Answer 3

• Common benign tumor