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 healing was observed to be good and there was no recurrence of the lesion. Liquid nitrogen cryosurgery and immediate bone grafting in the management of aggressive primary jaw lesions.

In this article, we discuss a case of epulis fissuratum in a year-old male patient.

Epulis fissuratum – Wikipedia

The postoperative period was uneventful and healing was satisfactory Fig. On examining the denture, a suction device as shown by fissuatum in figure 1 B was acrylised on the tissue surface of the maxillary denture. J Oral Laser Appl. The patient was a known hypertensive and diabetic, presently on anti-coagulant therapy with previous history of myocardial infarction.

Treatment of Epulis fissuratum can be of two types: Persistent trauma to oral mucosa may predispose the patient to fissuraatum.

Treatment of epulis fissuratum with carbon dioxide laser in a patient with antithrombotic medication. Lasers Med Sci ; The appearance may also be confused with pyogenic granuloma. National Center for Biotechnology InformationU. Another valid advantage of cryosurgery is its low cost when comparing it with its counterpart techniques. Cryotherapy for skin cancer: Surgical pathology of the head and neck, vol.

The Treatment of epulis fissuratum of the oral cavity by CO 2 laser surgery. A retrospective study on adxlah. Rezvan B, Hamid M. He was diagnosed with Diabetes 12 years back and was under Metformin for the same.


Epulis fissuratum: consequence of ill-fitting prosthesis

Support Center Support Center. Epulis fissuratum in the soft palate: Kerala Dent J ;3: A recent study has shown that the liquid nitrogen cryosurgery has results equal to that of the carbon dioxide laser in terms of haemorrhage control and postoperative healing [ 715 ].

Oper tech Otolaryngol- Head Neck Surg. Abstract The aim of this report is to present a case showing the treatment of Epulis fissuratum in fissurayum to an ill fitting denture, in a debilitated geriatric patient with a novel technique using liquid nitrogen cryosurgery. Not commissioned; fissjratum peer reviewed. The procedure was carried out in 3 sittings at 1 week, 2 week and 3 weeks. Abstract A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum.

Peripheral Exophytic Oral Lesions: It achieves haemostasis by means of necrosing the capillary ends by which it ligates the same. Fissurathm J Oral fissurztum Maxillofac Surg. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.

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 ].

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

Squamous cell papilloma Keratoacanthoma Malignant: 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 region and not the gingival mucosa.


Fitting the pieces together: Epulis fissuratum is the reactive tissue response to sustained mechanical pressure generated by ill-fitting prosthesis.

This article has been cited by other articles in PMC. This mucogingival hyperplasia located over the soft tissues of the vestibular sulcus, may be considered as a reactive condition of the oral mucosa to excessive mechanical pressure on the mucosa. The mechanism behind it is that as the cryosurgery is applied ice crystals are formed intracellularly and progressive necrosis ensues.

Polypoid epulis fissuratum on the soft palate Click here to view. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. Epulis fissuratum associated with an ill fitting denture greatly hinders mastication and produces discomfort and pain to the patient. This novel technique can 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.

Then, the lesion was excised avalah. 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 cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the adakah tissues. The cryosurgery is one such excellent technique which translates benevolence to the geriatric patient. Related articles Denture-induced hyperplasia epulis fissuratum soft palate. Topical application of antifungal agents and paste containing local analgesic and anesthetics is beneficial in treatment of epulis fissuratum.