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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Previous article Next article. Epulis literally, ‘on the gingiva’ is a general term for any gingival or alveolar tumor i. Not commissioned; externally peer reviewed. The diagnosis is made clinically, and usually this is clear cut if the lesion is associated with the flange of a denture.

Hence the patient was referred to cardiologist and haematologist for opinion and consent for the treatment of the Epulis fissuratum. She presented with the chief complaint of an abnormal growth along the posterior border of her ill-fitting upper complete denture as well as pain and discomfort during mastication.

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

Differential diagnosis The presence of epulis in patients without denture may be diagnostic of Crohn’s disease. Cryosurgery in oral lesions. Background Epulis fissuratum, reactive fibrous hyperplasia or denture-induced fibrous hyperplasias are the various names attributed to reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis.

Treatment of Epulis fissuratum can be of two types: Madhumiethaand Pratheeth Gundlapalle. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures Cementicle Cementoblastoma Gigantiform Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival fibromatosis Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.


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 granuloma[3] and granuloma fissuratum [4]: Treatment of chromomycosis by cryosurgery with liquid nitrogen: The conservative approach should be the first option as it is non invasive.

Epulis fissuratum – Wikipedia

High-power photomicrograph showing hyperplastic fibrovascular connective tissue covered by stratified squamous epithelium H and E Click here to view. If the causative factor persists, tissue will become more fibrous over time.

The liquid nitrogen for the gun was procured from Sri Venkateshwara University, Tirupathi Physics department which has a liquid nitrogen plant. Oper tech Otolaryngol- Head Neck Surg. The mechanism behind it is that as the cryosurgery is applied ice crystals are formed intracellularly and progressive necrosis ensues.

The patient presented in this article is one of fissuraatum patients with cardiovascular disease medicated with antithrombotic drug. Epuis Center for Biotechnology InformationU. Pogrel, Yen ChK, L. However this technique is related with significant loss of sulcus depth. Si continua navegando, consideramos que acepta su uso.

As recent guidelines suggests the patient cardiologist preferred not to suspend this medication during oral surgery. Removal of epulis fissuratum associated to vestibuloplasty with carbon dioxide laser.

Epulis fissuratum

Se continuar a navegar, consideramos que aceita o seu uso. During the procedure, nil haemorrhage was achieved and the postoperative healing was satisfactory. Int Con Ser,pp. Liquid nitrogen cryosurgery and immediate bone grafting in the management of aggressive primary jaw lesions. The CO2 laser emits energy with a The patient was satisfied with its fit, comfort and phonetics.


American Prosthodontic Society The glossary of prosthodontic terms. J Calif Dent Assoc.

Epulis fissuratum: consequence of ill-fitting prosthesis

It was surrounded by erythema and was the cause of discomfort for the patient due to excessive and continuous mechanical pressure imparted by faulty maxillary denture. Oral and maxillofacial medicine: The appearance of an epulis fissuratum microscopically is an overgrowth of cells from the fibrous connective tissue. Clinical Significance The advantages of cryosurgery over the conventional method makes it an important asset in the armamentarium of oral surgeon and has additional advantages of controlling pain and perhaps dealing with lesions in sites that would be difficult to treat by other means.

Cryosurgical treatment of hemangiomas of the lip. There were no cervical or submandibular adenopathy. Open in a separate window. From Wikipedia, the free encyclopedia.

Dental management of patients using antithrombotic drugs: Abstract A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum. Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. It includes removal of the acrylic flange followed by relining and rebasing after the complete healing of the lesion. Mucogingival overgrowth in a geriatric patient. Please review our privacy policy.

Following the treatment procedure, the ill fitting mandibular denture was relined according to the present residual ridge Fig. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.