Epulis and pyogenic granuloma with occlusal interference

localized gingival enlargement fibrous epulis pyogenic granuloma occlusal interference


  • Widowati Witjaksono
    Department of Periodontic, School of Dental Sciences, University Science Malaysia and Faculty of Dental Medicine, Universitas Airlangga, Malaysia
  • Ban Tawfeek Shareff Al Ani Department of Oral Pathology, School of Dental Sciences, University Science Malaysia, Malaysia


In dental clinic of Hospital University Science Malaysia (HUSM), there were cases with Localized Gingival Enlargement (LGE) in the oral cavity with occlusal interference. In this study, three cases were observed. They were a 13 - year- old female with fibrous lge around 31 and 32 with occlusal interference in protrusive movement due to X bite, a 15 - year – old female with pyogenic granuloma near 11 & 21 with occlusal interference due to deep bite; and a 24 – year – old female who was eight months in pregnancy with pyogenic granuloma on the 34-35 and severe generalized pregnancy gingivitis with occlusal interference in centric occlusion and lateral movement. Clinical and histopathological diagnosis of the first case showed fibrous epulis, whereas the second and third cases disclosed pyogenic granuloma. Chronic trauma of the gingiva due to occlusal interference was assumed to be the cause of those LGE in case 1 and 2, while in case 3 poor oral hygiene and chronic trauma were assumed to be the etiologic factors.