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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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. Periapical, mandibular and maxillary hard tissues — Bones of jaws.

Conditions of the mucous membranes Oral epuis pathology. Clinically, it presents as a raised sessile lesion in the form of folds with a smooth surface with normal or erythematous overlying mucosa.

Oral and maxillofacial medicine: The appearance of an epulis fissuratum microscopically is an overgrowth of cells from the fibrous connective tissue. On intraoral examination, a raw eroded irregular patch simulating the shape of the suction device was noticed in the middle of the hard palate figure 1 A. Histopathological examination revealed hyperplastic epithelium as well as a fibrous connective tissue with moderate inflammation which confirmed the fissuartum diagnosis.


Denture-induced extensive fibrous inflammatory hyperplasia epulis fissuratum. Treatment includes immediate withdrawal of the ill-fitting prosthesis followed by topical application of antifungal agents fisduratum paste containing anaesthetics with local analgesics.

Related articles Denture-induced hyperplasia epulis fissuratum soft palate. Withdrawal of the denture and topical application of analgesic gel over the affected site.

Lasers Med Sci, 14pp. This novel technique can be effectively used by dentists in the treatment of Epulis fisauratum besides it can also be used in treatment of other oral soft tissue pathologies achieving a plethora of benefits. Another valid advantage of cryosurgery is its low cost when comparing it with its counterpart techniques. These lesions were excised with CO2 laser.

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.

Epulis fissuratum

Most of epulis fissuratum occur in the anterior region of the upper or lower jaws. The Treatment of fissueatum fissuratum of the oral cavity by CO 2 laser surgery.

Dental management of patients using antithrombotic drugs: The excessive tissue is composed of cellular, inflamed fibrous connective tissue. Liquid nitrogen cryosurgery and immediate bone grafting in the management of aggressive primary jaw lesions.


Articles which fissuratjm infobox templates with no data rows Infobox medical condition new. A case treated by Cryosurgical treatment of hemangiomas of the lip.

Epulis fissuratum – Wikipedia

By using this site, you agree to the Terms of Use and Privacy Policy. Case Report A year-old male Fig. Discontinued publication For more information click here. The healing was observed to be good and there was no recurrence of the lesion.

Polypoid epulis fissuratum on the soft palate Click here to view.

Epulis fissuratum: consequence of ill-fitting prosthesis

Open in a separate window. The definitive treatment is excision with appropriate prosthetic reconstruction.

Epulis fissuratum refers to reactive tissue response to excessive mechanical pressure imparted by the poor fit of prosthesis. We think that CO2 laser is a precious help in the treatment of these patients.

The effects of the carbon dioxide surgical laser on oral tissues. Habitual medication included ticlopidina mg, glibenclamida 20 mg, and captopril 25 mg.