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Introduction. Epulis is a change in gingival tissue that occurs under the influence of chronic irritation. Histologically, there are several different types of epulis. Fibrous epulis is benign tumor of gingiva that most often occurs in interdental papilla area as a result of local irritation (inadequate restorative fillings, carious teeth, subgingival deposits or the combination of them). The aim of this paper is to present a clinical case of fibrous epulis. Case report. A 25-year-old girl reported to the Specialist Center for Dentistry in Foca. Clinical examination revealed a gingival tissue enlargement in the area of the upper jaw central incisors with speech and chewing function disturbances. Intraoral examination revealed a change above the level of gingiva, reddish-pink in color with smooth surface texture and soft consistency. The size of the change was 1 x 1.5 cm. It was connected to the interdental gingiva between teeth 12 and 21 by a narrower base. Clinically, a significant amount of soft and hard dental deposits surrounded the remaining teeth. Remaining gingiva was swollen, red, bleeding on provocation. The anamnesis did not confirm the presence of other acute and chronic diseases. The patient was not pregnant. She was informed about clinical condition assessment, as well as possible therapeutic procedures. Our patient was treated with non-surgical periodontal therapy and surgical excision of the enlargement. After histopathological examination of the removed tissue, the diagnosis was made: “Fibrous epulis cum ulceration”. Conclusion. Clinical examination is insufficient for definite diagnosis. Therefore, a histopathological examination of the tissue is mandatory for fibrous epulis definite diagnosis. Treatment of choice is surgical excision of the enlargement and removal of predisposing factors to avoid recurrence.

Hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) are the main bloodborne pathogens and are of considerable interest for the dental team. In dentist's surgery, HBV, HCV and HIV infections can be transmitted via direct contact with blood and saliva containing blood, or via indirect contact with contaminated dental instruments during and after work. The use of sharp dental instruments at work, as well as the treatment of patients who feel pain and are under stress, present risk factors for exposure incident development. For this reason, special measures to protect against viral infections should be imposed. A vaccine presents specific protection against HBV. Non-specific protection includes the protection of staff and patients, specific approach while working with contaminated dental instruments, specific hygiene of working surfaces and equipment in the dentist's surgery, as well as medical waste disposal. Prevention of exposure is the primary strategy leading to the reduction in occupational infections. In addition to this, for HBV, HCV and HIV infections a post-exposure prophylaxis is prescribed, the application of which has a satisfactory efficiency.