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Pregnancy Epulis — NDEB AFK MCQ

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EasyOral PathologyPregnancy EpulisNDEB AFK

A 28-year-old female presents with a painless, slow-growing, pedunculated mass on the interdental papilla between teeth 11 and 12. It is reddish-pink, bleeds easily on probing, and has been present for 6 weeks. She is in her second trimester of pregnancy. What is the most likely diagnosis?

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Correct answer: E — Pyogenic granuloma (pregnancy tumour/epulis)

A pyogenic granuloma (lobular capillary haemangioma) presenting during pregnancy is called a pregnancy tumour or pregnancy epulis. It is a reactive vascular proliferation on the gingiva, typically arising from the interdental papilla in response to hormonal changes (increased oestrogen and progesterone) and local irritants (plaque, calculus). It is not a true neoplasm. Treatment is observation until postpartum (may regress) or excision with local factor removal if bleeding is problematic.

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016