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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Published online Jul Diabetes is one such condition that needs efficient management. Treatment of epulis fissuratum with carbon dioxide laser. The high water content of the oral soft tissues makes this laser a useful tool in oral soft surgery with many advantages over conventional surgery including convenient mucosa removal, excellent haemostasis with a bloodless field, high precision in tissue destruction, no need for sutures, non contact surgery, bactericidal properties that minimize the possibility of infection and minimal postoperative pain and edema.

Epulis fissuratum associated with an ill fitting denture greatly hinders mastication and produces discomfort and pain to the patient. He underwent angioplasty for the same and was placed under Aspirin from then.

Most of epulis fissuratum occur in the anterior region of the upper or lower jaws.

Med Las Appl, 20pp. But with the advent of lasers, the former has taken a back seat. The presence of epulis in patients without denture may be diagnostic of Crohn’s disease.


Epulis fissuratum – Wikipedia

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

A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication eulis speech and epulis fissuratum. Three weeks after surgery, both areas were completely reepithelizaded.

Epulis fissuratum

The definitive treatment is excision with appropriate prosthetic reconstruction. He also gave a history of Hypertension present for 8 years and under Losartan for the same. Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Fisshratum periodontitis Stafne defect Torus mandibularis.

This condition occurs in association with denture wearing, and so those affected tend to be middle aged or older adults. Under a Creative Commons license.

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

Aspect of surgical wound after carbonization to ensure haemostasis. Although rare, epulis fissuratum can happen along the posterior portion of the upper denture and should be considered in intraoral examination. Recently, the liquid nitrogen cryosurgery has also been studied for its utility in this regard.

Report of a case in a very rare location. It is considered an overgrowth of intraoral tissue resulting from chronic irritation [ 1 ]. Comparative survey on carbon dioxide laser and surgical scalpel removal of epulis fissuratum. 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.


Epulis fissuratum: consequence of ill-fitting prosthesis

Int J Oral and Maxillofac Surg. J Prosthet Dent, 61pp.

Excision can be performed by either conventional surgical approaches or by using laser. Aspect of surgical wound after carbonization to ensure haemostasis.

Lasers Med Sci, 23pp. 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.

Additional and important advantages of CO2 lasers, as we observed in our case, epuulis minimal postoperative complains as pain, infeccion and edema. Fixsuratum The use of CO2 lasers are nowadays the Gold Standard in the excision of this type of pathology especially in patients with hemorrhagic diathesis or antithrombotic therapy.

Hence ill fitting dentures and its sequalae should not be overlooked. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.