291 - Diagnosis and Treatment of Fibroepithelial Polyp

Fibroepithelial polyp is a benign, mass-like growth that can appear on the gingiva, buccal mucosa, or tongue. Fibroepithelial polyp is a type of inflammatory fibrous hyperplasia where its origin is possibly the peridontal ligaments. This lesion is typically well-circumscribed, asymptomatic, and the size is variable. The prevalence of this lesion is approximately 1%. Fibroepithelial polyp is measured to be one of the most common benign lesions in the oral cavity.

The following case discusses a 2 year-old male patient who presented to University Hospitals Rainbow Babies and Children’s Hospital Emergency Department with a chief complaint for evaluation of gingival growth that was causing discomfort. The mother of the patient stated the patient started picking at the gingival lesion for a few days and noticed it began to become larger in size. A limited examination was completed which revealed a large gingival growth that extended from the distal of #F to the mesial of #H and extended across the maxillary ridge. The lesion was covered in a spongy, thick, non-wipeable white coating. Tooth #G was unable to be visualized clinically. Radiographic findings revealed diverged root of tooth #G. Patient was seen under general anesthesia where a biopsy was completed. Approximately a 1.5cm lesion was excised with a scalpel. The differential diagnosis of the gingival lesion was Fibrotic Congential Epulis. The biopsy result revealed a Fibroepithelial polyp. The long-term effect of the area and post-operative management of fibroepithelial polyp was discussed.