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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Treatment of chromomycosis by cryosurgery with liquid nitrogen: Liquid nitrogen cryosurgery hence can be used effectively in debilitated geriatric patients as it has the boon of achieving excellent haemostasis, good healing with minimal postoperative oedema and pain, maintaining an aseptic environment. 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.

Epulis fissuratum

During the procedure, nil haemorrhage was achieved and the postoperative healing was satisfactory. Managing the medically compromised geriatric patient. The surgical scalpel has been used time immemorial for this soft tissue lesion.

The denture was delivered to the patient about 2 xdalah back. The advent of various new surgical modalities has made their management much easier. Chronic trauma to the oral mucosa is considered a risk factor for the development of oral fisuratum. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities.


Fitting the pieces together: The conservative approach should be the first option as it is non invasive.

A retrospective study of cases. Periapical, mandibular and maxillary hard tissues — Bones of jaws. Surgical pathology of the head and neck, vol.

Although rare, epulis fissuratum can happen along the posterior portion of the upper denture and should be considered in intraoral examination. Dent Clin North Am ; Geriatric patients often pose with systemic disorders that are fpulis to deal with. The cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the soft tissues.

Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: It not only produces pain and discomfort but negatively affects the mastication, aesthetics and overall well-being of the patient.

Epulis fissuratum Epulis fissuratum also termed inflammatory fibrous hyperplasia[1] denture-induced fibrous inflammatory hyperplasia[2] denture injury tumor[1] denture ada,ah[1] denture induced granuloma[3] and granuloma fissuratum [4]: Rarely, incisional biopsy may be indicated to rule out neoplasiae. It includes removal of the acrylic flange followed by relining and rebasing after the complete healing of the lesion. J Indian Prosthodont Soc.

A comparison of carbon dioxide laser, liquid nitrogen cryosurgery, and scalpel wounds in healing. On history and clinical examination, fissurayum provisional diagnosis of denture-induced hyperplasia was made. Treatment includes immediate withdrawal of the ill-fitting prosthesis followed by topical application of antifungal agents and paste containing anaesthetics with local analgesics.


Cawson’s essentials of oral pathology and oral medicine 7. Introduction A poorly fitted fisduratum can give arise to a plethora of problems, notably Epulis fissuratum, residual ridge resorption, ulceration of the soft tissue, etc. Views Read Edit View history.

Epulis fissuratum: consequence of ill-fitting prosthesis

Denture-induced fibrous hyperplasia is an adaptive growth caused by chronic irritation from badly adapted prosthesis with variable hypertrophy and hyperplasia. The liquid nitrogen for the gun was procured from Sri Venkateshwara University, Tirupathi Physics department which has a liquid nitrogen plant. Recently, the liquid nitrogen cryosurgery has also been studied for its utility in this regard. The healing was observed to be good and there was no recurrence of the lesion.

Low temperatures have been shown to be capable of blocking neural transmission. It is a closely related condition to fissuratmu papillary hyperplasiabut the appearance and location differs.

Epulis fissuratum – Wikipedia

Treatment of epulis fissuratum with carbon dioxide laser. Studies have shown that the sharp edges of teeth or the ragged edges of ill fitting dentures have potential to cause oral carcinoma [ 2 ]. Persistent trauma to oral mucosa may predispose the patient to carcinoma.