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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One such novel technique is the cryosurgery. Oral and Maxillofacial Pathology. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities. Clinical presentation of a lower epulis fissuratum without protheses.

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

You can change the settings or obtain more information fissugatum clicking here. The healing was observed to be good and there was no recurrence of the lesion. Epulis fissuratum in the soft palate: A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum.

After complete healing of the lesion, the patient was referred to the prosthodontics department for fabrication of new dentures. Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis e;ulis Torus palatinus. J Calif Dent Assoc. The surgical scalpel has been used time immemorial for this soft tissue lesion. In maxillary sulcus a 3-mm depth extension was gained, increasing the prosthesis retention.

Epulis fissuratum associated with an ill fitting denture greatly hinders mastication and produces discomfort and pain to the patient.

Epulis fissuratum

Hence ill fitting dentures and its sequalae should not be overlooked. This allows the maintenance of an adequate sulcus depth important for achieving a correct peripheral seal for dental prosthesis retention and stability, preventing further recurrences [ 1314 ]. Excision can be performed by either conventional surgical approaches or by using laser. Int J Oral and Maxillofac Surg. A retrospective study of cases. High-power photomicrograph showing hyperplastic fibrovascular connective tissue covered by stratified squamous epithelium H and E Click here to view.


Previous article Next article. Se continuar a navegar, consideramos que aceita o seu uso. Provenance and peer review: Rezvan B, Hamid M. Clinical presentation of a lower epulis fissuratum with protheses. It also provides good healing with minimal postoperative oedema and pain. Histopathological examination revealed hyperplastic epithelium as well as a fibrous connective tissue with moderate inflammation which confirmed the clinical diagnosis.

Epulis fissuratum: consequence of ill-fitting prosthesis

Clinical presentation of a lower epulis fissuratum without protheses. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Comparison of conventional surgery and CO2 laser on intraoral soft tissue pathologies and evaluation of the collateral thermal damage. Periapical, mandibular and maxillary hard tissues — Bones of jaws. Additional and important advantages of CO2 lasers, as we observed in our case, are minimal postoperative complains as pain, infeccion and edema.

Some of the lasers used in dentistry for this purpose is CO 2 laser, Er: Background Epulis fissuratum, reactive fibrous hyperplasia or denture-induced fibrous hyperplasias are fissurahum various names attributed to reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis. Epulis fissuratum also termed inflammatory fibrous hyperplasia[1] denture-induced fibrous inflammatory hyperplasia[2] denture injury tumor[1] denture epulis fisshratum, [1] denture induced granuloma[3] and granuloma fissuratum [4]: Withdrawal of the denture and topical application of analgesic gel over the affected site.

Study of denture-induced fibrous hyperplasia cases diagnosed from to Hence the patient was referred to cardiologist and haematologist for opinion and consent for the treatment of the Epulis fissuratum. Operatory product of maxillary epulis excision.


Epulis fissuratum – Wikipedia

A year-old male reported with Epulis fissuratum in the vestibular sulcus, which was associated with an ill- fitting denture. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.

In last years, some guidelines of dental management of patients using anti-thrombotic drugs recommended to not routinely discontinue anti-platelet and anti-coagulation medication before dental surgery. In oral surgical procedures it has been implemented in the management of aggressive primary jaw lesions [ 2021 ] and minor soft fissuratuj surgeries [ 2223 ].

His INR level was 2. The aim of this article is to present a case of epulis fissuratum in a patient with antithrombotic medication demonstrating the usefulness of the CO2 laser for treatment of this lesion. She reported a gingival enlargement with 12 months of evolution with oral discomfort using booth prostheses.

The patient was satisfied with its fit, comfort and phonetics. J Oral Maxillofac Surg. The patient presented in this article is one of many patients with cardiovascular disease medicated with antithrombotic drug. Intraoral examination revealed fisuratum polypoid fibrous mass, soft in consistency and smooth in texture.

It includes removal of the acrylic flange followed by relining and rebasing after the complete healing of the lesion.

Treatment of epulis fissuratum with CO 2 laser and prosthetic rehabilitation in patients with vesiculobullous disease. Received Jan 2; Accepted Jul 7.