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Epulis fissuratum is a mucosal hyperplasia that results from chronic low-grade trauma induced by a denture flange. Epulis fissuratum is. epulis fissuratum. 1. EPULIS FISSURATUM By: Aleia S. Guzman; 2. WHAT IS EPULIS FISSURATUM? is a benign hyperplasia of fibrous. A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum. Epulis.

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Mucogingival overgrowth in a geriatric patient. By using this site, you agree to the Terms of Use and Privacy Policy. Treatment of Epulis fissuratum spulis be of two types: Introduction A poorly fitted prosthesis can give arise to a plethora of problems, notably Epulis fissuratum, residual ridge resorption, ulceration of the soft tissue, etc.

Epulis fissuratum: consequence of ill-fitting prosthesis

He was diagnosed with Diabetes 12 years back and was under Metformin for the same. Common benign oral soft tissue masses. A comparison of carbon dioxide laser, liquid nitrogen cryosurgery, and scalpel wounds in healing. National Center for Biotechnology InformationU. Rezvan B, Hamid M. Diode laser lingual frenectomy may be performed without local anaesthesia.

During the procedure, nil haemorrhage was achieved and the postoperative healing was satisfactory.

Epulis fissuratum – Wikipedia

Cryotherapy for skin cancer: Electro cauterisation was also used to remove Epulis fissuratum with advantages of haemorrhage control and postoperative healing. 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.


Managing the medically compromised geriatric patient. In cases of fibrous growth, excision of the lesion becomes necessary. The lesion is usually painless.

A diagnosis of denture-induced fibrous hyperplasia was made and the patient was instructed to stop wearing dentures. On palpation, all the inspectory findings were confirmed and the lesion was soft in consistency and smooth in texture.

Chronic trauma to oral mucosa may predispose the patient to carcinoma.

This mandates the maintenance of a strict protocol during their management. Removal of epulis fissuratum associated to vestibuloplasty with carbondioxide laser. Following the treatment procedure, the ill fitting mandibular denture was relined according to the present residual ridge Fig. Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.

Denture-induced extensive fibrous inflammatory hyperplasia epulis fissuratum. 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. Epulis fissuratum is a tumor-like fissurwtum developing in association with an ill-fitting denture. Oral and Maxillofacial Pathology. Epuliss is considered an overgrowth of intraoral tissue resulting from chronic irritation [ 1 ].

Differential Diagnosis of Oral and Maxillofacial Lesions.

Epulis fissuratum

This allows the epuis of an adequate sulcus depth important for achieving a correct peripheral seal for dental prosthesis retention and stability, preventing further recurrences [ 1314 ].

The liquid nitrogen cryosurgery has been used successfully in a number of oral surgical and dermatological procedures. The Management of a debilitated geriatric patient can be an enigma to the Dentist.


Treatment is by simple surgical removal of the lesion, and also by adjustment of the denture or provision of a new denture.

The surgical scalpel has been used time immemorial for this soft tissue lesion. Not commissioned; externally peer reviewed. Andrews’ Diseases of the Skin: Chronic, sustained pressure can not only traumatise fixsuratum 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 fissyratum[3] and granuloma fissuratum [4]: It is considered as an overgrowth of intraoral tissues resulting from chronic irritation.

Risk factors in oral and oropharyngeal squamous cell carcinoma: J Fissurarum Dent Assoc. The procedure was carried out in 3 sittings at 1 week, 2 week and 3 weeks.

Studies have showed the increased presence of platelets in fissuratmu treated with cryosurgery [ 24 ], denoting its role in haemorrhage control. Published online Jul Published online Jul Polypoid epulis fissuratum on the soft palate Click here to view.

High-power photomicrograph showing hyperplastic fibrovascular connective tissue covered by stratified squamous epithelium H and E Click here to view.