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

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

Chronic trauma to the oral mucosa is considered a risk factor for the development of oral carcinoma. Treatment is by simple surgical removal of the lesion, and also by adjustment of the denture or provision of a new denture. The patient had a myocardial infarction about 5 years back. Not commissioned; externally peer reviewed.

It has the boon of achieving excellent haemostasis, without direct contact with tissue while maintaining an aseptic environment. It was observed that the cryosurgery technique maintained a clear surgical field with epukis haemorrhage accounting to its advantage. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities.


Epulis fissuratum: consequence of ill-fitting prosthesis

Swed Dent J Suppl. Over the years it was seen that the usage of this term is not appropriate as it refers only to site, and moreover the affected mucosa is usually the oral mucosa of the vestibular sulcus or of the palatal region and not the gingival mucosa.

Managing the medically compromised geriatric patient. A poorly fitted prosthesis can give arise to a plethora of problems, notably Epulis fissuratum, residual ridge resorption, ulceration of the soft tissue, etc.

Author information Copyright and License information Disclaimer. Related articles Denture-induced hyperplasia epulis fissuratum soft palate. Denture-induced extensive fibrous inflammatory hyperplasia epulis fissuratum. The procedure was carried out in 3 sittings at 1 week, 2 week and 3 weeks.

The denture was delivered to the patient about 2 years back. Liquid nitrogen cryosurgery, Geriatric patient, Haemorrhage control, Soft tissue lesion.

Epulis fissuratum

We present a case of faulty denture and the resultant epulis fissuratum in a year-old male patient. It is a closely related condition to inflammatory papillary hyperplasiabut the appearance and location differs.

Oper tech Otolaryngol- Head Neck Surg. According to the American Society of Anaesthesiologists classification [ 4 ], he was classified as ASA III that is patient with severe systemic disease that limits activity, due to the presence of more than two systemic diseases. Abstract The aim of this report is to present a case showing the treatment of Epulis fissuratum in relation to an ill fitting denture, in a debilitated geriatric patient with a novel technique using liquid nitrogen cryosurgery.


The cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the soft tissues.

Epulis fissuratum – Wikipedia

However it is quite time consuming. Correspondence to Ravi Prakash Sasankoti Mohan, moc. American Prosthodontic Society The glossary of prosthodontic terms.

Cryotherapy for skin cancer: Support Center Support Center. Simple cryosurgical treatment for oral lesions.

Teeth pulpdentinenamel. Fabrication of new denture should be carried out. Epulis fissuratum Epulis fissuratum epuliis 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]: High-power photomicrograph showing hyperplastic fibrovascular connective tissue covered by stratified squamous epithelium H and E Click here to view.

The lesion is usually painless. Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: He presented with Diabetes, Hypertension, previous history of Myocardial infarction and present Anticoagulant therapy.

The liquid nitrogen for the gun was procured from Sri Venkateshwara University, Tirupathi Physics department which has a liquid nitrogen plant. Treatment is by surgical excision complete removal of the fibrous tissue overgrowth and addressing the causative factor to prevent recurrence of the lesion.

A population-based case-control study in Southern Sweden. Study of denture-induced fibrous hyperplasia cases diagnosed from to