Fogorvosi szemle, 2007 (100. évfolyam, 1-6. szám)
2007-10-01 / 5. szám
238 FOGORVOSI SZEMLE ■ 100. évf. 5. sz. 2007. rinsing with chlorhexidine, adstringent, H202 washing and increased oral hygiene). Following childbirth, 9 of the 12 pregnancy epulis cases demonstrated spontaneous regression and recovery. In 2 patients, surgical removal of the tissue growth was necessary at the beginning of the 9lh month of the healthy pregnancy, due to the intense bleeding and the impossibility of eating. Surgical intervention took place under local anesthesia. During pregnancy the Fig. 1. Pregnancy gingivitis in a 24-year-old woman (gravida 1, para 0), 14th week of gestation not similar report in the literature, and a detailed description of the case is therefore justified. Case report First pregnancy Oral cavity complaints of the patient started in the 16th week of pregnancy. The initial relatively heavy bleed-Fig. 2. Pregnancy epulis in 32nd week of gestation (same patient as in Fig. 1) Fig. 3. Large pregnancy epulis on left side of mandible in week 16th of first pregnancy Fig. 4. Oral picture after surgical excision of tumor electrocoagulation was preferred. Both patients recovered fully: there was no recurrence during the remainder of the pregnancy. In both pregnancies of the 23-year-old patient, surgical intervention was needed several times. The clinical picture was large, multiple epulis in the oral cavity of the patient (also in the case history). We have found ing from the gingiva was followed by swelling of the gingiva, which was especially marked around the lower and upper left-side dentition and in the lower right quadrant. The teeth adjacent to the epulis gradually loosened (Fig. 3). The bleeding from the gingiva continually worsened: following tooth cleaning it could hardly be stopped and
