Fibrous epulis of unusual dimensions: case report

Epulis is a benign inflammatory gingival pseudotumor resulting from chronic irritation or hormonal variations, but neglect, often linked to socioeconomic factors and delayed access to care common in African settings, can lead to massive overgrowth and functional impairment. We report the case of a 56-year-old Algerian patient who presented with an unusually large epulis (8.5 cm x 6 cm x 4 cm). This volume complicated the differential diagnosis and posed an operative challenge in a resource-limited setting. Successful surgical excision was performed, leading to an excellent prognosis. This report underscores the importance of early intervention and highlights the difficulties of managing extensive oral lesions in constrained healthcare environments, serving as a crucial reminder for clinicians.