This section is from the book "Dental Medicine. A Manual Of Dental Materia Medica And Therapeutics", by Ferdinand J. S. Gorgas. Also available from Amazon: Dental Medicine.
Epulis is indicated by a growth on the gums, either small and pedunculated, or large and sessile.
If it is firm in texture and slow of growth, the epulis is generally fibrous; but if rapid in growth and dark in color, it is myeloid; if prone to ulcerate and very painful, it may be an epithelioma.
Removal of the growth, and its reproduction prevented by the application of nitrate of silver, or chromic acid, or a fire cautery. Generally it is necessary to remove the periosteum and a thin scale of the bone beneath, as this growth is connected with the periosteum. Extract all roots of carious teeth, and when the epulis is connected with the alveolar cavity of a tooth and has tendency to the interior of the jaw, it is generally myeloid, and several teeth will have to be sacrificed, so that the alveolus can be thoroughly excavated. When very extensive, a considerable portion of the alveolus and bone of the jaw must be removed.