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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A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum.
Case Report: Epulis fissuratum: consequence of ill-fitting prosthesis
Epulis fissuratum refers to reactive tissue response to excessive mechanical pressure imparted by the poor fit of prosthesis. In this article, we discuss a case of epulis fissuratum in a year-old male patient.
Epulis fissuratum, reactive fibrous hyperplasia or denture-induced eppulis hyperplasias are the various names attributed to reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis.
Persistent trauma to oral mucosa may predispose the patient to carcinoma. We present a case of faulty denture and the resultant epulis fissuratum in a year-old male patient.
His medical and family history was non-relevant.
On examining the denture, a suction device as shown by arrow in figure fisauratum B was acrylised on the tissue surface of the maxillary denture. On intraoral examination, a raw eroded irregular patch simulating the shape of the suction device was noticed in the middle of the hard palate figure 1 A.
It was surrounded by erythema and was fissuatum cause of discomfort for the patient due to excessive and continuous mechanical pressure fissurarum by faulty maxillary fiasuratum. A diagnosis of denture-induced fibrous hyperplasia was made and the patient was instructed to stop wearing dentures. A year-old man presenting with epulis fissuratum, A a raw, eroded, irregular patch resembling the shape of suction device seen on the middle of hard palate and B faulty maxillary denture with suction device black arrow.
The presence of epulis in patients without denture may be diagnostic of Crohn’s disease. Withdrawal of the denture and topical application of analgesic gel over the affected site. After complete healing of the lesion, the patient was referred to the prosthodontics department for fabrication of new dentures.
Over the years it was seen that the usage of this term is not appropriate as it refers only to site, and moreover the affected mucosa is usually the oral mucosa of the vestibular sulcus or of the palatal fizsuratum and not the gingival mucosa. Denture-induced fibrous hyperplasia is an adaptive growth caused by chronic irritation from badly adapted prosthesis with variable hypertrophy and hyperplasia.
Trauma and irritation are the two main aetiological factors responsible for occurrence of epulis. Clinically, it presents as a raised sessile lesion in the form of folds with a smooth surface with normal or erythematous overlying mucosa. Because of chronic irritation, it may get traumatised and present with an ulcerated surface.
It is considered as an overgrowth of intraoral tissues resulting from fissurztum irritation.
Epulis fissuratum: consequence of ill-fitting prosthesis
It not only produces pain and discomfort but negatively affects the mastication, aesthetics and overall well-being of the patient. Chronic trauma to oral mucosa may predispose the patient fissuratmu carcinoma. Treatment includes immediate withdrawal of the ill-fitting prosthesis followed by topical application of antifungal agents and paste containing anaesthetics with local analgesics. Fabrication of new denture should be carried out.
In cases of fibrous growth, excision of fissudatum lesion becomes necessary. Excision can be performed epuli either conventional surgical approaches or by using laser. Provenance and peer review: Not commissioned; externally peer reviewed. National Center for Biotechnology InformationU.
Published online Jul Author information Copyright and License information Disclaimer. Correspondence to Ravi Prakash Sasankoti Mohan, moc.
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Abstract A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and 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. Open in a separate window. Differential diagnosis The presence of epulis in patients without denture may be diagnostic of Crohn’s disease.
Treatment Withdrawal of the denture and topical application of analgesic gel over the affected site. Outcome and follow-up After complete healing of the lesion, the patient was referred to the prosthodontics department for fabrication of new dentures. Epulis fissuratum is the reactive tissue response to sustained mechanical pressure generated by ill-fitting prosthesis. Chronic, sustained pressure can not only traumatise oral tissue but may also lead to malignancy.
Topical application of antifungal agents and paste containing local analgesic and anesthetics is beneficial in treatment of epulis fissuratum.