Abstract A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum. 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. 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. Persistent trauma to oral mucosa may predispose the patient to carcinoma.
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E-mail: moc. Abstract The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. Lesions are asymptomatic and have a variable growth rate. A year-old woman was referred for the evaluation of a large painless gingival mass. It had started 10 years back and has been increasing in size the last year.
No bone involvement was noted. The tumor was totally removed by excision with surgical scalpel under local anesthesia without teeth extraction. The microscopic findings were suggestive of a fibrous epulis. Differential diagnosis, clinical considerations and factors to prevent recurrence are discussed. Keywords: diagnosis, gingival diseases, oral pathology INTRODUCTION The most common mechanisms in the development of soft tissue tumor-like lesion in the oral cavity included reactive hyperplasia and neoplasia, and the majority of localized overgrowths are considered to be reactive rather than neoplastic in nature.
When traumatized, the lesion contain inflammatory infiltrate and ulcerated area will be covered with fibrin and organisms from the oral flora. Because of the unusual size and evolution, the differential diagnosis and clinical considerations are discussed. It was firm in consistency, irregular surfaced, pedunculated, and did not bleed when touched. No tooth mobility in this region was noted, and regional lymph nodes were normal.
Radiographic examination did not demonstrate any bone involvement Figure 2. The patient presented considerable deposits of bacterial plaque. The mass had started insidiously 10 years back and has been progressively increasing in size the last year. This mass led to some difficulty in speaking, eating and closing her mouth.
Operative findings revealed that the lesion was indurated.
Epulis fissuratum: consequence of ill-fitting prosthesis
Case Report: We report a year-old female with epulis fissuratum in the soft palate as a very rare clinical location. She presented with the chief complaint of an abnormal growth along the posterior border of her ill-fitting upper complete denture as well as pain and discomfort during mastication. Intraoral examination revealed a polypoid fibrous mass, soft in consistency and smooth in texture. On history and clinical examination, a provisional diagnosis of denture-induced hyperplasia was made. The patient was prescribed topical anti-fungal medications for 10 days. Then, the lesion was excised surgically.
Massive fibrous epulis—a case report of a 10-year-old lesion
EPULIS FISSURATUM CASE REPORT PDF