Reactive Lesions of the Oral Mucosa: A Retrospective Analysis of 69 Cases
,
Abstract
Introduction: Reactive lesions encompass a category of fibroepithelial lesions that are frequently observed in the oral mucosa. Due to the oral cavity’s significant exposure to trauma or frictional forces, the incidence of these reactive lesions is notably higher within this anatomical region. Despite resembling neoplastic proliferations clinically, proper knowledge about these lesions is crucial for accurate diagnosis. Materials and Methods: Clinical data of all the reactive lesions were collected retrospectively from the 5-year archives of the Oral Pathology Department, GITAM Dental College and Hospital, Visakhapatnam. A comprehensive clinical and histopathological assessment was conducted for all Reactive lesions. The collected data comprised age, gender, dimensions, location, and histopathological diagnosis, systematically compared and organized into tabulated formats. Results: In our study, we found that (54%) were females, with a slight female prediction. The 1st most common reactive lesion observed in our study was fibroepithelial polyp (29.85%). The gingiva was the most affected site (38.8%), followed by the buccal mucosa (31.3%). Conclusion: Reactive lesions are more prevalent in the oral cavity. As they can mimic multiple conditions, the clinical assessment was aligned with the histopathological characteristics to facilitate precise diagnosis while also delving deeper into the etiological factors implicated. Oral reactive lesions like pyogenic granuloma with unknown etiological factors need to be justified to arrive at a proper diagnosis, as suggested by Daley et al.Keywords: Reactive lesions; Fibroma; Pyogenic granuloma; Peripheral giant cell granuloma.
1. Bina Kashyap, P. Sridhar Reddy, and P. Nalini. Reactive lesions of the oral cavity: A survey of 100 cases in Eluru, West Godavari district. Contemp Clin Dent 2012; 3(3): 294– 297
2. Vidyanath S, Shameena PM, Johns DA, Shivashankar VY, Sudha S, Varma S. Reactive hyperplasic lesions of the oral cavity: A survey of 295 cases at a Tertiary Health Institution in Kerala. J Oral Maxillofac Pathol 2015;19:330-4
3. Rossmann JA. Reactive lesions of the gingiva: Diagnosis and treatment options. Open Pathol J 2011;5:23 32.
4. Naderi NJ, Eshghyar N, Esfehanian H. Reactive lesions of the oral cavity: A retrospective study on 2068 cases. Dent Res J (Isfahan) 2012;9:251.
5. Hunasgi S, Koneru A, Vanishree M, Manvikar V. Assessment of reactive gingival lesions of the oral cavity: A histopathological study. J Oral Maxillofac Pathol 2017;21:180.
6. 6.Dutra KL, Longo L, Grando LJ, Rivero ERC. Incidence of reactive hyperplastic lesions in the oral cavity: a 10-year retrospective study in Santa Catarina, Brazil. Braz J Otorhinolaryngol. 2019 Jul-Aug;85(4):399-407.
7. Kamal R, Dahiya P, Puri A. Oral pyogenic granuloma: Various concepts of etiopathogenesis. J Oral Maxillofac Pathol. 2012 Jan;16(1):79-82.
8. Ala Aghbali A, Vosough Hosseini S, Harasi B, Janani M, Mahmoudi SM. Reactive hyperplasia of the oral cavity: a survey of 197 cases in Tabriz, northwest Iran. J Dent Res Dent Clin Dent Prospects. 2010 Summer;4(3):87-9.
9. Buchner A, Calderon S, Ramon Y. Localized hyperplastic lesions of the gingiva: A clinicopathological study of 302 lesions. J Periodontol 1977;48:101-4.
10. Kadeh H, Saravani S, Tajik M. Reactive hyperplastic lesions of the oral cavity. Iran J Otorhinolaryngol. 2015 Mar;27(79):137-44
11. Daley TD,Nartey NO,Wysocki GP.Pregnancy tumor: an analysis. OralSurg Oral Med Oral Pathol 72,196-199,1991.
2. Vidyanath S, Shameena PM, Johns DA, Shivashankar VY, Sudha S, Varma S. Reactive hyperplasic lesions of the oral cavity: A survey of 295 cases at a Tertiary Health Institution in Kerala. J Oral Maxillofac Pathol 2015;19:330-4
3. Rossmann JA. Reactive lesions of the gingiva: Diagnosis and treatment options. Open Pathol J 2011;5:23 32.
4. Naderi NJ, Eshghyar N, Esfehanian H. Reactive lesions of the oral cavity: A retrospective study on 2068 cases. Dent Res J (Isfahan) 2012;9:251.
5. Hunasgi S, Koneru A, Vanishree M, Manvikar V. Assessment of reactive gingival lesions of the oral cavity: A histopathological study. J Oral Maxillofac Pathol 2017;21:180.
6. 6.Dutra KL, Longo L, Grando LJ, Rivero ERC. Incidence of reactive hyperplastic lesions in the oral cavity: a 10-year retrospective study in Santa Catarina, Brazil. Braz J Otorhinolaryngol. 2019 Jul-Aug;85(4):399-407.
7. Kamal R, Dahiya P, Puri A. Oral pyogenic granuloma: Various concepts of etiopathogenesis. J Oral Maxillofac Pathol. 2012 Jan;16(1):79-82.
8. Ala Aghbali A, Vosough Hosseini S, Harasi B, Janani M, Mahmoudi SM. Reactive hyperplasia of the oral cavity: a survey of 197 cases in Tabriz, northwest Iran. J Dent Res Dent Clin Dent Prospects. 2010 Summer;4(3):87-9.
9. Buchner A, Calderon S, Ramon Y. Localized hyperplastic lesions of the gingiva: A clinicopathological study of 302 lesions. J Periodontol 1977;48:101-4.
10. Kadeh H, Saravani S, Tajik M. Reactive hyperplastic lesions of the oral cavity. Iran J Otorhinolaryngol. 2015 Mar;27(79):137-44
11. Daley TD,Nartey NO,Wysocki GP.Pregnancy tumor: an analysis. OralSurg Oral Med Oral Pathol 72,196-199,1991.
| Files | ||
| Issue | Vol 11, No 3 (Summer 2024) | |
| Section | Original Article(s) | |
| Keywords | ||
| Reactive lesions; Fibroma; Pyogenic granuloma; Peripheral giant cell granuloma. | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Sindhuja V, Raj V, Uppala D. Reactive Lesions of the Oral Mucosa: A Retrospective Analysis of 69 Cases. J Craniomaxillofac Res. 2024;11(3):175-181.
