The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. Lesions are asymptomatic and have a variable growth rate. A 75-year-old woman was referred for the evaluation of a large painless gingival mass. It had started 10 years back and has been increasing in size the last year. No bone involvement was noted. The tumor was totally removed by excision with surgical scalpel under local anesthesia without teeth extraction. The microscopic findings were suggestive of a fibrous epulis. Differential diagnosis, clinical considerations and factors to prevent recurrence are discussed.
1 October 2015 in Research and Reports in Forensic Medical Science
The interaction between domestic animals and humans has not been free of conflicts, and dog attacks represent a real problem, not only for the health consequences, but also for the possible criminal, and can affect the legal or financial outcomes. Dogs’ teeth have particular features, and the resulting bite marks are a major point of forensic interest mainly in the absence of witnesses or in cases where postmortem dog interference can be misinterpreted. An appropriate forensic approach should include an exhaustive analysis of the scene, the victim, and the dog. Bite marks must be discriminated from other traumas, and the familiarity of the investigator with different patterns of animal behavior can be of great importance in the correct assessment of the offending specie. A scientific inclusion/exclusion of the dog involved is possible and also recommended because of the possible consequences for the owner of the animal. Since dog bite mark analysis should involve different forensic professionals such as pathologists, odontologists, veterinarians, biologists, and also police investigators, a review focused on this type of evidence from a multidisciplinary point of view is presented. Prevention and mitigating strategies focused on both breed-specific legislation and the legal responsibility of the owner for the dog's behavior are discussed.