Treatment of epulis fissuratum with carbon dioxide laser in a. Introduction epulis fissuratum or granuloma fissuratum is an oral pathologic hyperplastic condition that appears in the mouth as an overgrowth of. In this article we present a case report of an otherwise healthy female neonate with two congenital epuli. Nov 02, 2015 more simply, epulis fissuratum is whesssssre excess folds of firm tissue form inside the mouth, as a result of rubbing on the edge of dentures that do not fit well. It appears as a single or multiple fold or folds of hyperplastic tissue in the alveolar vestibule.
Introduction in the oral cavity, the gingiva is the most. This is a fibrous hyperplasia of excess connective tissue folds that takes place in reaction to chronic trauma from an ill fitting denture. A simplified approach for management of flabby ridges a case report. Epulis fissuratum in this case which greatly hindered the patients comfort and phonetics was to be treated at the earliest to improve the patients quality of life. She presented with the chief complaint of an abnormal growth along the posterior border of her illfitting upper complete denture as well as pain and discomfort. Health, general anesthetic gases usage anesthetics nitrous oxide. Management of geriatric patient with epulis fissuratum using. Followup was done after 15 days and 1 month and a new complete denture was fabricated for the patient. Co2 laser surgery and prosthetic management for the.
Management of geriatric patient with epulis fissuratum using liquid nitrogen cryosurgery. I ordered a book for my mother and it came within a few days from india to nyc i want a poem or song which is in sanskrit can u plz provide me tht. Treatment of epulis fissuratum with co 2 laser 77 introduction epulis fissuratum is a pseudotumor growth located over the soft tissues of the vestibular sulcus caused by chronic irritation from poorly adapted prostheses with variable degrees of hypertrophy and hyperplasia. Pyogenic granuloma a case report open access journals. Epulis fissuratum refers to reactive tissue response to excessive mechanical pressure imparted by the poor fit of prosthesis.
Clinical and denturerelated characteristics in patients with epulis fissuratum. This report presents a case of a 68year old male patient with two soft tissue hyperplastic growths seen in the buccal vestibule in the lower anterior region. The aim of this study was to present a case report of the surgical removal of hyperplasia in the oral cavity, using carbon dioxide co 2 laser radiation and rehabilitation with a complete denture. Epulis fissuratum is a tumorlike hyperplasia developing in association with an illfitting denture. More simply, epulis fissuratum is whesssssre excess folds of firm tissue form inside the mouth, as a result of rubbing on the edge of dentures that do not fit well. Epulis fissuratum, reactive fibrous hyperplasia or. A rare case report jaya naidu, shreya banerjee, sapna jyoti, pavanalakshmi gp, kirthana satish abstract introduction. We report a 73yearold female with epulis fissuratum in the soft. Pdf employment of diode laser in the treatment of epulis. Dentureinduced hyperplasia, epulis fissuratum, removable partial. Congenital epulis is a rare lesion found on the alveolar process of a newborn child, diagnosed soon after birth. Trauma and irritation are important aetiological factors for epulis fissuratum and lesions arise in areas of persistent mucosal injury.
May 01, 2019 epulis fissuratum adalah pdf epulis fissuratum is a mucosal hyperplasia that results from chronic lowgrade trauma induced by a denture flange. Oct 02, 2019 key steps to optimize management of epulis fissuratum induced by a total denture. Ling summary an unusual case offibrous epulis in a newborn is presented. Epulis fissuratum case report pdf bharati a patil et al sch j med case rep. The word literally means growth on the gingiva, and describes only the location of the mass and has no further implications on the nature of the lesion.
Massive fibrous epulisa case report of a 10yearold lesion. Conclusion an unusual case of epulis fissuratum is discussed. Epulis fissuratum epulis fissuratum is a tumorlike hyperplasia of fibrous connective tissue that develops in relation to an overextended or illfitting denture. Once diagnosed the traditional management of the lesion has been surgical excision under general anesthesia. Jun 15, 2019 key steps to optimize management of epulis fissuratum induced by a total denture. A rare case report jaya naidu, shreya banerjee, sapna jyoti, pavanalakshmi gp, kirthana satish abstract. Epulis fissuratum is an overgrowth of tissue around the flange of a denture that does not fit correctly. Management of geriatric patient with epulis fissuratum. Epulis fissuratum, ill fitting denture, inflammatory hyperplasia. Case report by indian journal of dental advancements.
The treatment of choice is surgical excision with appropriate. The name comes from the crystal from the laser radiation they emit. The following is a case report of recurrent epulis granulomatosa in a 64yearold patient, detailing the clinical features, diagnosis, and management with emphasis on the differential diagnosis, both clinical and histopathological. Massive fibrous epulisa case report of a 10yearold.
An unusual occurrence of epulis fissuratum in mandible. In severe cases, the excess tissue may cover the crowns of the teeth, thus causing functional, esthetic, and periodontal problems, such as bone loss and bleeding, due to the presence of. In this article we present a case report of an otherwise healthy female neonate with two congenital. Pdf epulis fissuratum, that is alo named 2inflammatory fibrous hyperplasia2, is a hyperplastic lesions of oral mucosanon spesific lesion which. In this article, we discuss a case of epulis fissuratum in a 69yearold male patient. Epulis of pregnancy journal of postgraduate gynecology. The aim of this report is to present a case showing the treatment of epulis fissuratum in relation to an ill. It is reported a 73yearsold female patient case diagnosed of epulis fissuratum that was.
Introduction congenital granular cell epulis ce is a rare benign tumor occurring exclusively in neonates. Pdf key steps to optimize management of epulis fissuratum. Co2 laser surgery and prosthetic management for the treatment. Congenital epulis, also known as neumanns tumour, is a rare congenital growth affecting the gingival mucosa of neonates. This is a report of a case of epulis during pregnancy which showed spontaneous regression after delivery. Noma affects extremely impoverished and malnourished children in subsaharan countries and other tropical regions. The term epulis derives from the greek word meaning on the gingiva.
This article has been cited by 1 peripheral exophytic oral lesions. Epulis fissuratum associated with an illfitting denture greatly hinders mastication and produces discomfort and pain to the patient. 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. Key steps to optimize management of epulis fissuratum induced by a total denture. The purpose of this study was to analyze the cases of epulis fissuratum admitted in the department of oral medicine, kerman dental school in relation to the demographic, denturerelated and clinical findings. These lasers have a very high affinity for tissues containing water. The cause and origin of congenital epulis remains unclear. More simply, epulis fissuratum is where excess folds of firm tissue form inside the mouth, as a result of rubbing on the edge of dentures that do not fit well. The aim of the present case report is to present a case showing the treatment of epulis fissuratum in relation to an illfitting denture treated with nitrous oxide cryosurgery. Treatment of epulis fissuratum with carbon dioxide laser. It is reported a 73yearsold female patient case diagnosed of epulis fissuratum that was treated with fox diode laser. She presented with the chief complaint of an abnormal growth along the posterior border of her illfitting.
Epulis fissuratum is a benign hyperplasia of fibrous connective tissue which develops as a reactive lesion to chronic mechanical irritation produced by the flange of a poorly fitting denture. Epulis fissuratum occurs in complete denture patients, because a constant irritative action induces the mucosa to grow under poorly fitting dentures. A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum. Epulis fissuratum epulis fissuratum also termed inflammatory fibrous hyperplasia1 dentureinduced fibrous inflammatory hyperplasia2 denture injury tumor1 denture epulis 1 denture induced granuloma3 and granuloma fissuratum 4. The mucous membranes of the mouth develop ulcers, and rapid, painful tissue degeneration ensues, which can degrade tissues of the bones in the face causes. Management of geriatric patients can be quite challenging due to the presence of various diseases. Histopathologic feature of epulis fissuratum include excessive bulk of fibrous connective. Employment of diode laser in the treatment of epulis fissuratum. Satyajeet rated it really liked it aug 24, and any any online source. Management of dentureinduced epulis fissuratum with er,cr. Management of epulis fissuratum using cryosurgery a case report. Congenital epulis or congenital gingival granular cell tumor refers to an exophytic congenital tumor that arises from the alveolar ridge and has histologic features identical to those of granular cell tumor fig.
However, in the case report our finding was observed in a male patient, presenting in the lesion in the lingual sulcus contrary to the information available in the literature, which makes this case rare one. Because of the high frequency of pyogenic granuloma in the oral cavity, this case report presents a case of pyogenic granuloma in pregnant female, discussing its clinical and histopathological features that distinguish this lesion from other similar oral mucosal lesions and also successful management of the lesion. In this case report, we discuss a case of epulis fissuratum in a 60yearold woman and the surgical management of the lesion. Clinical and denturerelated characteristics in patients with epulis. Abstract the aim of this report is to present a case showing the treatment of epulis. Prevalence of denturerelated oral lesions among patients attending college of dentistry, university of dammam. Congenital epulis, also known as congenital granular cell tumor, is a rare benign intraoral tumor which occurs along the gingiva of alveolar ridges of the jaws. Management of epulis fissuratum using cryosurgerya case. Jan 06, 2016 introduction congenital granular cell epulis ce is a rare benign tumor occurring exclusively in neonates. Treatment of epulis fissuratum with co 2 laser 77 introduction. Epulis fissuratum is an tissue overgrowth in the mucobuccal fold, induced by chronic trauma from an illfitting prosthesis.
Aug 07, 2019 epulis fissuratum adalah pdf epulis fissuratum is a mucosal hyperplasia that results from chronic lowgrade trauma induced by a denture flange. Treatment of epulis fissuratum with carbon dioxide laser revista. It is benign condition, seen more frequently in females, with multiple epuli occurring in only 10% of cases. The lesion has a site predilection for the anterior maxillary alveolar process and a 9. The aim of the present case report is to present a case showing the treatment of epulis fissuratum in relation to an illfitting denture treated with. Patients with epulis fissuratum should be educated about the benign nature of the condition, treatment options, and importance of not to wear the dentures at night time.
Case report fibrous epulis misdiagnosed for combined. Epulis fissuratum associated with an ill fitting denture greatly hinders. Discussion the management of a debilitated geriatric patient can be an enigma to the dentist. Apr 22, 2019 epulis fissuratum epulis fissuratum also termed inflammatory fibrous hyperplasia1 dentureinduced fibrous inflammatory hyperplasia2 denture injury tumor1 denture epulis 1 denture induced granuloma3 and granuloma fissuratum 4.
Epulis fissuratum medigoo medical test medical information. Jul 22, 2012 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. This article exposes through a clinical case, the interest of a temporary denture followed by a. Massive fibrous epulis a case report of a 10yearold lesion.
Case report a 72yearold female patient was referred to the. Epulis fissuratum adalah pdf epulis fissuratum is a mucosal hyperplasia that results from chronic lowgrade trauma induced by a denture flange. Management of epulis fissuratum using cryosurgerya case report. A male patient presenting with an epulis fissuratum in the,mandib. Case report fibrous epulis misdiagnosed for combined periodonticendodontic lesion khzam 1n, shah mansouri r2, poli a3, bakr mm4 abstract fibrous epulis or peripheral ossifying fibroma is a reactive nonneoplastic condition that affects the gingiva as a result of chronic irritation. Another advantage is that cryosurgery is a painless procedure because of the immediate blockage of the nerve transmission in that area. Treatment of epulis fissuratum can be of two types. The need for regular maintenance visits and good denture hygiene habits is also highlighted. Unlike other reports in literature where co2 laser was frequently used, this report further discuss the comparison of diode laser as against co2. Epulis fissuratum is one of the important denturerelated mucosal lesions that occurs around the borders of an illfitting denture. Gingival fibromatosis is a rare and heterogeneous group of disorders that develop as slowly progressive, local or diffuse enlargements within marginal and attached gingiva or interdental papilla.
Epulis fissuratum is a pseudotumor growth located over the soft. Epulis is a general term used to describe a number of reactive gingival lesions with vascular, fibroblastic, and granulation tissue proliferation. Jan 18, 2019 epulis fissuratum case report pdf bharati a patil et al sch j med case rep. The clinical appearance, histological features and method of treatment are described.