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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The patient presented with an array of medical conditions. Lasers Med Sci ; Case Report A year-old male Fig. Surgical pathology of the head and neck, vol. The CO2 laser effectively removed both lesion and kept bleeding under control during the surgical procedure e postoperative period.

His medical and family history was non-relevant. Epulis fissuratum is not a true tumor but an adaptive fibroepithelial response due a chronic low-grade irritation from poorly adapted prostheses with variable degrees of hypertrophy and hyperplasia. The patient was seen in 1 month and one year after and was free of recurrence.

As recent guidelines suggests the patient cardiologist preferred not to suspend this medication during oral surgery. 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.

A diagnosis of denture-induced fibrous hyperplasia was made and the patient was instructed to stop wearing dentures. Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.


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

The advantages of cryosurgery epulos the conventional method makes it an important asset in the armamentarium of oral surgeon and peulis additional advantages of controlling pain and perhaps dealing with lesions in sites that would be difficult to treat by other means. Views Read Edit View history.

In our case we observed a good bleeding control in mandibular epulis and maxillary epulis. You can change the settings or obtain more information by clicking here.

It is a closely related condition to inflammatory papillary hyperplasiabut the appearance and location differs. Related articles Denture-induced hyperplasia epulis fissuratum soft palate. Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus.

Treatment Withdrawal of the denture epluis topical application of analgesic gel over the affected site.

A population-based case-control study in Southern Sweden. The swelling is firm and fibrous, with a smooth, pink surface. Braz Dent J, 20pp. Treatment includes immediate withdrawal of the ill-fitting prosthesis followed by topical application fissuratumm antifungal agents and paste containing anaesthetics with local analgesics. The surgical scalpel has been used time immemorial for this soft tissue lesion. This is an important advantage of CO2 laser treatment report by many authors.

Epulis fissuratum: consequence of ill-fitting prosthesis

Spulis was diagnosed with Diabetes 12 years back and was under Metformin for the same. 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: Removal of hyperplastic lesions of the oral cavity.


Geriatric patients often pose with systemic disorders that are ffissuratum to deal with. Liquid nitrogen cryosurgery, Geriatric patient, Haemorrhage control, Soft tissue lesion.

Epulis fissuratum – Wikipedia

The haemostatic capacity of CO2 laser is describe widespread being a usefull instrument for oral surgery in patients that suffered from clotting disorders. Liquid nitrogen cryosurgery and immediate bone grafting in the management of aggressive primary jaw lesions.

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.

Squamous cell papilloma Keratoacanthoma Malignant: We report a year-old female with epulis fissuratum in the soft palate as a very rare clinical location. National Center for Biotechnology InformationU. He presented with Diabetes, Hypertension, previous history of Myocardial infarction and present Anticoagulant therapy. Intraoral examination revealed a polypoid fibrous fissiratum, soft in consistency and smooth in texture.