Portal de Periódicos da CAPES

A case of spontaneous regression of multiple congenital epulis

2015; Japanese Society of Oral and Maxillofacial Surgeons; Volume: 61; Issue: 10 Linguagem: Inglês

10.5794/jjoms.61.513

2186-1579

Toyoko Shibukawa, Tadashi Mikoya, Yusuke Matsuzawa, Yumi Ito, Izumi Sogabe, Kanchu Tei,

Soft tissue tumor case studies

We describe our experience with a case of congenital epulis arising in both the maxillary and mandibular alveolar ridge, which showed spontaneous regression. Two distinct lesions were found in an 8-day-old newborn infant at the first medical examination: one was a sessile lesion on the maxillary alveolar ridge corresponding to the right upper deciduous canine, and the other was a pedunculated lesion on the mandibular alveolar ridge corresponding to the right lower deciduous lateral incisor. Because the patient did not have any problem with feeding using a nursing bottle or with breathing, we decided to perform follow-up observation. During follow-up, both lesions regressed spontaneously, with no increase in size. As of 21 months after birth, the deciduous incisors, canines, and first molars had erupted in the normal position in both the upper and lower jaws, without any complications. As shown by the present case, congenital epulis may regress spontaneously with the growth of the infant. Careful follow-up is essential before deciding to perform surgical excision, especially in patients with lesions that show no increase in size and cause no dysfunction.