Key Steps to Optimize Management of Epulis Fissuratum induced by a Total Denture: A Case. Report. Jihane Slaoui Hasnaoui1*, Zineb Stri2. Introduction: Epulis fissuratum is a tumor-like hyperplasia developing in association with an ill-fitting denture. Case Report: We report a. Epulis fissuratum is a pseudotumor growth located over the soft tissues of the vestibular sulcus caused by chronic irritation from poorly adapted prostheses.

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Epulis fissuratum: consequence of ill-fitting prosthesis

This mandates the maintenance of a strict protocol during their management. She was taking antithrombotic medication.

Removal of epulis fissuratum associated to vestibuloplasty with carbon dioxide laser. The CO2 laser effectively removed both lesion and kept bleeding under control during the surgical procedure e postoperative period.

Clinical presentation of a lower epulis fissuratum without protheses. Appropriate new prosthetic rehabilitation was provided. As result the risk of a severe bleeding during or after oral surgical procedures is elevated. Lasers Med Sci, rissuratumpp. This article has been cited by other articles in PMC. After complete healing of the lesion, the patient was referred to the prosthodontics department fissuartum fabrication of new dentures. Benign lymphoepithelial lesion Ectopic salivary gland tissue Frey’s syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: Provenance and peer review: This article has been cited by.


It includes removal of the fisauratum flange fisssuratum by relining and rebasing after the complete healing of the lesion. Madhumiethaand Pratheeth Gundlapalle.

Case Report: Epulis fissuratum: consequence of ill-fitting prosthesis

The diagnosis is made clinically, and usually this is clear cut if the lesion is associated with the flange of a denture. As recent guidelines suggests the patient cardiologist preferred not to suspend this medication during oral surgery. The swelling is firm and fibrous, with a smooth, pink surface. In this view some authors prefer to call these lesions denture-induced fibrous hyperplasia. Treatment is by simple surgical removal of the lesion, and also by adjustment of the denture or provision of a new denture.

His medical and family history was fissurathm.

This novel technique can be effectively used by dentists in the treatment of Epulis fissuratum besides it can also be used in treatment of other oral soft tissue pathologies achieving a plethora of benefits.

How to cite this URL: Rezvan B, Hamid M. But with the advent of lasers, the former has taken a back seat. On examining the denture, a suction device as shown by arrow in figure 1 B was acrylised on the tissue surface of the maxillary denture.

Br J Oral Maxillofac Surg, 22pp. It was concluded that these lesions were fisssuratum epulis fissuratum. Background Epulis fissuratum, reactive fibrous hyperplasia or denture-induced fibrous hyperplasias are the various names attributed to reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis.

Treatment includes immediate withdrawal of the ill-fitting prosthesis followed by topical application of antifungal agents and paste containing anaesthetics with local analgesics.


Chronic, sustained pressure can not only traumatise oral tissue but may also lead to malignancy. Epulis fissuratum Epulis fissuratum also termed inflammatory fibrous hyperplasia[1] denture-induced fibrous inflammatory hyperplasia[2] denture injury tumor[1] denture epulis[1] denture induced granuloma[3] and granuloma fissuratum [4]: However it is quite epupis consuming.

Epulis literally, ‘on the gingiva’ is a general term for any gingival or alveolar tumor i. In conclusion, given the intrinsic qualities of CO2 laser when epylis for oral tissue surgery, it is reasonable to assume that this treatment option should become the Gold Standard in denture related hyperplasias, especially in patients with hemorrhagic diathesis or antithrombotic therapy.

Discussion The Management of a debilitated geriatric patient can be an enigma to the Dentist.

Epulis fissuratum

Some of the lasers used in dentistry for this purpose is CO 2 laser, Er: However this technique is related with significant loss of sulcus depth.

Removal of benign oral tumors and tumor-like lesions by CO 2 laser application. Conclusion Dentists are treating increased number of elderly patients who have one or more significant comorbidities, which may complicate treatment planning and reduce ability to carry out post treatment monitoring.