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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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The denture was delivered to the patient about 2 years back. Treatment of epulis fissuratum with CO 2 laser and prosthetic rehabilitation in patients with vesiculobullous disease. It was observed that the cryosurgery technique maintained a clear surgical field with nil haemorrhage accounting to its advantage. A Clinical Decision Tree.

Epulis fissuratum: consequence of ill-fitting prosthesis

Polypoid epulis fissuratum on the soft palate Click here to view. Trauma and irritation are the two main aetiological factors responsible for occurrence of epulis. The appearance may also be confused with pyogenic granuloma. The patient was satisfied with its fit, comfort and phonetics. Published online Fissiratum On history and clinical examination, a provisional diagnosis of denture-induced hyperplasia was made.

Withdrawal of the denture and topical application of analgesic gel over the affected site. A clinical study of a Turkish population group.

The appearance of an epulis fissuratum microscopically is fissurratum overgrowth of cells from the fibrous connective tissue.

The surgical scalpel has been used time immemorial for this soft tissue lesion. Anticoagulant intake is another challenge that pulls the cuffs adalh the dentist, which he can be readily overcome. Int J Orofac Sci. Chronic trauma to the oral mucosa is considered a risk factor for the development of oral carcinoma.

Lasers Med Sci ; The excessive tissue is composed of cellular, inflamed fibrous connective tissue. Mucogingival overgrowth in a geriatric patient. Epulis fissuratum refers to reactive tissue response to excessive mechanical pressure imparted by the poor fit of prosthesis.


A poorly fitted prosthesis can give arise to a plethora of problems, notably Epulis fissuratum, residual ridge resorption, ulceration of the soft tissue, etc. Treatment is by surgical excision complete removal of the fibrous tissue overgrowth and addressing the causative factor to prevent recurrence of the lesion.

Epulis fissuratum – Wikipedia

Removal of hyperplastic lesions of the oral cavity. Author information Article notes Copyright and License information Disclaimer. How to cite this URL: A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum.

Correspondence to Ravi Prakash Sasankoti Mohan, moc. Out of which, Epulis fissuratum is considered essentially to be treated due to its masticatory hindrances. Rarely, incisional biopsy may be indicated to rule out neoplasiae. Fibroepithelial polypspedunculated lesions of the palate beneath an upper denture, are fissuratuk with this condition.

Liquid nitrogen cryosurgery, Geriatric patient, Haemorrhage control, Soft tissue lesion. The patient was recalled at 1 month and 2 months for observation. 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 Fiseuratum gingival fibromatosis Hypercementosis Hypocementosis Linear gingival fissuratm 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.

Received Jan 2; Accepted Jul 7. Squamous cell papilloma Keratoacanthoma Malignant: Oral and Maxillofacial Pathology.

Epulis fissuratum

Cawson’s essentials of oral pathology and oral medicine 7. Liquid nitrogen cryosurgery hence can be used effectively in debilitated geriatric patients as it has the boon of achieving excellent haemostasis, good healing with minimal postoperative oedema and pain, maintaining an aseptic environment. Periapical, mandibular and maxillary hard tissues — Bones of jaws.


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. It is considered an overgrowth of intraoral tissue resulting from chronic irritation fissurztum 1 ]. A year-old male Adzlah.

Histopathological examination revealed hyperplastic epithelium as well as a fibrous connective tissue with moderate inflammation which confirmed the clinical diagnosis. Please review our privacy policy.

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

Cryotherapy for skin cancer: It is a harmless condition and does not represent oral cancer. The diagnosis is aadalah clinically, and usually this is clear cut if the lesion is associated with the flange of a denture. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction.

The liquid nitrogen cryosurgery has been used fiwsuratum in a number of oral surgical and dermatological procedures. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities.

It also provides good healing with minimal postoperative oedema and pain. Following the treatment procedure, the ill fitting mandibular denture was relined according to the present residual ridge Fig. Basal cell adenoma Canalicular adenoma Ductal papilloma Fissugatum adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: Int J Oral and Maxillofac Surg.