Journal of Oral Health and Community Dentistry

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VOLUME 13 , ISSUE 2 ( May-August, 2019 ) > List of Articles

CASE REPORT

A Case Report on Epulis Fissuratum

Rubiya Parveen, Veena A Patil, Pranitha Surve

Keywords : Denture-induced hyperplasia, Epulis fissuratum, Removable partial denture

Citation Information : Parveen R, Patil VA, Surve P. A Case Report on Epulis Fissuratum. J Oral Health Comm Dent 2019; 13 (2):59-61.

DOI: 10.5005/jp-journals-10062-0049

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

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.


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  1. Mohammadi M, Navabi N, et al. Clinical and denture-related characteristics in patients with epulis fissuratum: a retrospective 58 case series. Caspian J Dent Res 2017;6(1):15–21.
  2. Mortazavi H, Khalighi HR, et al. Epulis fissuratum in the soft palate: Report of a case in a very rare location. Dent Hypotheses 2016;7(2): 67.
  3. Bhoyar A, Tijare M. An Unusual Occurrence of Epulis Fissuratum in Mandible; A Case Report and Literature Overview. Pariper-Indian Journal of Research 2016;5(10):335–337.
  4. Veena KM, Jagadishchandra H, et al. An extensive denture-induced hyperplasia of the maxilla. Ann Med Health Sci Res 2013;3(1a):7–9. DOI: 10.4103/2141-9248.121208.
  5. Mohan RP, Verma S, et al. Epulis fissuratum: consequence of ill-fitting prosthesis. BMJ Case Rep 2013;2013:bcr2013200054. DOI: 10.1136/bcr-2013-200054.
  6. Kafas P, Upile T, et al. Mucogingival overgrowth in a geriatric patient. Dermatol Online J 2010;16(8):7.
  7. Patil BA, Arora A, et al. Report of a Case of Epulis Fissuratum. Sch J Med Case Rep 2014;2(7):452–454.
  8. Khan MW, Shah AA. A Massive Denture Induced Hyperplastic Lesion in Maxilla. J Pak Dent Assoc 2019;28(01):48.
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