Comparison of fibrous epulis case management techniques using conventional and electrosurgery

The word epulis is a clinical term to describe a localized growth on the gingiva. A fibrous epulis is a common tumor-like lesion of the gingiva that usually appears in the interdental papilla as a result of local irritation. Lesions are asymptomatic and have a variable growth rate. The management of a fibrous epulis includes surgical excision and flap surgery using conventional or electrosurgery. To compare fibrous epulis surgical management techniques using conventional and electrosurgery. Two cases of fibrous epulides are compared in this case report. Both cases presented bone loss and nonhemorrhagic and pedunculated lesions. The first case was a 36-year-old male with a 1.8 cm × 1.4 cm × 0.5 cm lesion located on the palatal gingiva of teeth 15 and 16. The second case was a 54-year-old female with a 1.5 cm × 1.0 cm × 0.3 cm lesion located on interdental teeth 31 and 32 on the gingiva buccal and lingual area. The first and second cases were managed by excision followed by flap surgery. Excision in the first case was managed using a conventional blade, while the second case used electrosurgery. A four-week evaluation in both cases showed satisfactory results with no recurrence. Electrosurgery provides better access and visuals compared to excision than conventional surgery.