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Epulis fissuratum associated with an ill fitting denture greatly hinders is another challenge that pulls the cuffs of the dentist, which he can be readily overcome.
Epulis fissuratum occurs in complete denture patients, because a constant irritative action induces the mucosa to grow under poorly fitting dentures.
Pdf on jun 25, 2018, sankar vinod vichattu and others published epulis fissuratum: a case report find, read and cite all the research you need on researchgate.
Epulis fissuratum, also known as inflammatory fibrous hyperplasia. Multiple soft tissue enlargements with a prominent fissure into which the denture flange fits.
The denture using population is mostly elderly and often oral signs and symptoms may be indicative of underlying medical disease. Topics addressed include a review of pertinent medical and dental history findings, the proper methods for conducting oral-facial demands and prosthodontic assessment.
Treatment of epulis fissuratum can be of two types: conservative and surgical. The conservative approach should be the first option as it is non invasive. It includes removal of the acrylic flange followed by relining and rebasing after the complete healing of the lesion.
Epulis fissuratum is also referred to as denture granuloma, inflammatory fibrous hyperplasia, denture induced fibrous hyperplasia and denture-related hyperplasia.
10 jun 2018 epulis fissuratum associated with an ill-fitting denture greatly hinders mastication and produces discomfort and pain to the patient.
Epulis fissuratum forms around the periphery of the denture soft, movable, poor base for denture appearance single or multiple fold of tissue that grows in excess around the alveolar vestibule the edge of the denture rests in between two of the folds the excess tissue is firm and fibrous in nature ulcerations may be present.
A clinical diagnosis of an epulis fissuratum due to chronic irritation from the ill-fitting prosthesis was evoked. The oral patient consent was obtained in order to fabricate a new complete prosthesis followed by a surgical excision of the lesion and vestibuloplasty to avoid recurrence.
The surgical correction of epulis fissuratum with suturing of the flap to the periosteum may fail because of excessive contracture of the vestibule with loss of vestibular height. This will result in a denture that does not properly fit in the vestibule. Lack of relapse,absence of scarring, good re-epithelialization, and precise tissue destruction.
Epulis fissuratum is a benign hyperplasia of fibrous connective tissue which develops as a reactive lesion to chronic mechanical irritation produced by the flange.
Treated by first removing the cause of the sore spot and letting the lesion shrink away, then relining the denture. If it does not go away, then the extra tissue is easily removed with a laser before relining the denture.
Epulis fissuratum is a pseudotumor growth located over the soft tissues of the vestibular sulcus caused by chronic irritation from poorly adapted dentures.
It is also known as inflammatory fibrous hyperplasia, denture injury tumour, denture epulis or denture induced hyperplasia. It is defined as a curtain like fold of excessive tissue associated with flange of the denture.
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