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Epulis granulomatosa is a benign tumor-like proliferation arising from a poorly healing extraction socket, a complication as a result of bony spicules or tooth fragments within the socket. The remnants act as inciting agents to precipitate an inflammatory reaction to the fibrovascular connective tissue core replacing the defect previously occupied by the tooth. Recurrence of such lesions is rare as excision eliminate the stimulus for inflammation suggesting an indefinite underlying pathology.doi:10.15713/ins.jcri.63 fatcat:vct2fnkehfakrjtdc6nckbcbme