A Case Report on Epulis Fissuratum

Abstract

Ab s t r Ac t Aim: The aim of this case report was to diagnose an abnormal growth along a ill-fitting maxillary removable partial denture in a 60-year-old woman and the surgical management of that lesion. Background: Epulis fissuratum, reactive fibrous hyperplasia, or denture-induced fibrous hyperplasia are the various names attributed to a reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis. Persistent trauma to oral mucosa may predispose the patient to a carcinoma. We present a case of faulty denture and the resultant epulis fissuratum in a 60-year-old woman. Case description: A 60-year-old woman is presented to the Department of Periodontics with the chief complaint of an abnormal growth along the anterior border of her ill-fitting maxillary partial denture. An intraoral examination revealed a fibrous mass, which was polypoid and had a soft consistency and a smooth texture. The lesion was diagnosed as epulis fissuratum or a denture-induced hyperplasia and surgically managed the lesion with a scalpel and electrocautery. Postoperative instructions were given and a follow-up evaluation was done for 3 months. Conclusion: To prevent the occurrence of the epulis fissuratum lesion is to perform standard prosthetic treatments on the patients and carry out the necessary maintenance procedures of the denture as soon as possible. The maintenance and hygiene-related instructions have to be given. Clinical significance: A poorly fitted prosthesis can give rise to many problems such as pain, discomfort in mastication, difficulty in speech, and epulis fissuratum. Epulis fissuratum is an tissue overgrowth in the mucobuccal fold, induced by chronic trauma from an ill-fitting prosthesis. In this case report, we discuss a case of epulis fissuratum in a 60-year-old woman and the surgical management of the lesion.