BDS INSIGHTS by Dr Manish Khazane

  CONGENITAL EPULIS OF THE NEWBORN Epulis is a rare tumor of the newborn, also known as granular cell tumor of the newborn or Neumann's tumor. This tumor arises from the mucosa of the gingiva, most commonly from the anterior part of the maxillary alveolar ridge, and is typically seen as a mass protruding out of the newborn child's mouth, which may interfere with respiration or feeding. Epulis is seen only in the newborn and is a different entity from other granular cell tumors. The tumor has a marked female preponderance of 8:1. The recommended treatment is prompt surgical resection. Recurrences of the tumor and damage to future dentition have not been reported, suggesting that radical excision is not warranted. A newborn female with such a mass is described. The tumor was resected using a carbon dioxide laser; the postoperative course ...

Ameloblastoma, a relatively common epithelial odontogenic tumor includes several histopathologic subtypes like follicular, plexiform, acanthomatous and desmoplastic variants. Hybrid desmoplastic ameloblastoma (DA) composed of typical desmoplastic ameloblastoma along with areas of follicular/plexiform ameloblastoma is an extremely rare variant of ameloblastoma.        Desmoplastic ameloblastoma (DA) was first described in detail by Eversole et al in 1984 and is defined as “a variant of ameloblastoma with specific clinical, imaging and histological                    features” in the recent WHO classification of odontogenic tumors. Thus, it often occurs in the anterior region of jaws, presents with unique radiographic appearance resembling fibrosseous lesions and show distinct histopathology characterized by extensive stromal collagenisation or desmoplasia surroun...