Reactive lesions are non-neoplastic gingival enlargements that are commonly grouped under the previously noted nondescript classification of epulides. The term ‘epulis’ (singular) has no specific histopathologic connotation and is a clinical designation for any localized, exophytic swelling on the gingiva. Reactive lesions include focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and reactive exostosis. Marginal excision of these lesions, without inclusion of adjacent normal tissue, is generally sufficient, as local recurrence is uncommon. | Reactive lesions are non-neoplastic gingival enlargements that are commonly grouped under the previously noted nondescript classification of epulides. The term ‘epulis’ (singular) has no specific histopathologic connotation and is a clinical designation for any localized, exophytic swelling on the gingiva. Reactive lesions include focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and reactive exostosis. Marginal excision of these lesions, without inclusion of adjacent normal tissue, is generally sufficient, as local recurrence is uncommon. |