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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Epulis fissuratum: consequence of ill-fitting prosthesis

The denture was delivered to the patient about 2 years back. Rezvan B, Hamid M. The appearance of an epulis fissuratum microscopically is an overgrowth of cells from the fibrous connective tissue.

Three weeks after surgery, both areas were completely reepithelizaded. In our case we observed a good bleeding control in mandibular epulis and maxillary epulis. Fabrication of new denture should be carried out. Retrieved from ” https: Acta Odontol Scand, 41pp. Only the site of surgery was exposed; all other areas were protected with wet gauze.

Case Report A year-old male Fig. Another advantage is that cryosurgery is a painless procedure because of the immediate blockage of the nerve transmission in that area. This article has been cited by 1 Peripheral Exophytic Oral Lesions: Excision of epulis fissuratum with CO2 laser.

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

This novel technique fissruatum be effectively used by dentists in the treatment of Epulis fissuratum besides it can also be used in treatment of other oral soft tissue pathologies achieving a plethora of benefits.


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.

CiteScore measures average citations received per document published. National Center for Biotechnology InformationU. In modern societies, there is an increasing number of older patients with common systemic diseases such as cardiovascular diseases, especially those fiasuratum with anticoagulation therapy because of cardiologic indications.

Clinical presentation of a upper epulis fissuratum without protheses. The treatment of epulis fissuratum of the oral cavity by CO2 laser surgery. Giant facial dermoid cyst: Correspondence to Ravi Prakash Sasankoti Mohan, moc. It was concluded that these lesions were both epulis fissuratum. A Clinical Decision Tree.

His medical and family history was non-relevant. No suturing was used and the wound was allowed to repair by second intention. Open in a separate window. 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 Periapical periodontitis Stafne defect Torus mandibularis.

Published online Jul Liquid nitrogen cryosurgery, Geriatric patient, Haemorrhage control, Soft tissue lesion. Differential Diagnosis of Oral and Maxillofacial Lesions. He also gave a history of Hypertension present for 8 years and under Losartan for the same.

The treatment is usually performed with conventional surgery excision with scalpel. fussuratum

A comparison of carbon dioxide laser, liquid nitrogen cryosurgery, and scalpel wounds in healing. E;ulis diagnosis is made clinically, and usually this is clear cut if the lesion is associated with the flange of a denture. Fitting the pieces together: The presence of epulis in patients without denture may be diagnostic of Crohn’s disease.


From Wikipedia, the free encyclopedia. It is widely used in removing epidermal warts, molluscum contagiosum, hemangiomas, treating chromomycosis [ 16 — 18 ] and also in excision of skin malignancies [ 19 ]. Preprosthetic surgery of the edentulous maxilla: Diode laser lingual frenectomy may be performed without local anaesthesia. In this view some authors prefer to call these lesions denture-induced fibrous hyperplasia. It is advocated that repeat freezes, as used in our case report, results in rather large intracellular ice crystals and it is this increase in size which is more lethal to the cells [ 24 ].

J Calif Dent Assoc. Received Jan 2; Accepted Jul 7.

The patient was informed in detail about the procedure after which he signed an informed consent form. On history and clinical examination, dpulis provisional diagnosis of denture-induced hyperplasia was made.

However this technique is related with significant loss of sulcus depth. Colour Atlas of Oral Diseases. Histopathological examination revealed hyperplastic epithelium as well as a fibrous connective tissue with moderate inflammation which confirmed the clinical diagnosis.