Epulis fissuratum: Difference between revisions

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Epulis Fissuratum

Epulis fissuratum is a benign hyperplastic growth of fibrous connective tissue that occurs in the oral cavity. It is commonly associated with ill-fitting dentures and is characterized by folds of excess tissue that develop in the vestibule of the mouth.

Etiology

Epulis fissuratum is primarily caused by chronic irritation from the flange of a poorly fitting denture. The constant mechanical irritation leads to an inflammatory response, resulting in the proliferation of fibrous tissue.

Clinical Features

The condition presents as one or more folds of hyperplastic tissue, usually in the vestibular mucosa. These folds can vary in size and are often painless, although they may become ulcerated or infected if not treated. The tissue is typically firm and fibrous in consistency.

Diagnosis

Diagnosis of epulis fissuratum is primarily clinical, based on the appearance of the lesion and its association with denture use. A biopsy may be performed to rule out other conditions such as squamous cell carcinoma or other types of oral lesions.

Treatment

The primary treatment for epulis fissuratum is the surgical excision of the hyperplastic tissue. This is often followed by the adjustment or replacement of the offending denture to prevent recurrence. In some cases, a soft tissue conditioning material may be used temporarily to alleviate irritation.

Prognosis

The prognosis for patients with epulis fissuratum is generally excellent following surgical removal and proper adjustment of dentures. Recurrence is uncommon if the underlying cause is addressed.

Prevention

Preventive measures include regular dental check-ups to ensure proper fit of dentures, patient education on the importance of denture hygiene, and timely adjustment or replacement of dentures as needed.

Related Pages

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-'''Epulis fissuratum''' (also termed '''granuloma fissuratum''', '''denture-induced fibrous hyperplasia''', '''long-term denture sore''', '''denture injury tumor''', '''denture epulis''', '''denture induced granuloma''', and '''denture hyperplasia''') is a condition where excessive tissue develops in the mouth as a result of irritation, often from ill-fitting dentures.
+== Epulis Fissuratum ==
-== Causes ==
+[[File:Epulis.jpg|thumb|right|Epulis fissuratum in the oral cavity]]
-Epulis fissuratum is caused by ill-fitting dentures. It is more common in the lower jaw than the upper jaw. The condition is usually painless, but can cause discomfort during eating or speaking.
-== Symptoms ==
+'''Epulis fissuratum''' is a benign hyperplastic growth of fibrous connective tissue that occurs in the oral cavity. It is commonly associated with ill-fitting dentures and is characterized by folds of excess tissue that develop in the vestibule of the mouth.
-The main symptom of epulis fissuratum is the development of excessive tissue in the mouth. This tissue is usually firm and pink, and may have a smooth or lobulated surface. It can develop anywhere in the mouth, but is most commonly found in the area where the denture flange sits.
+== Etiology ==
+Epulis fissuratum is primarily caused by chronic irritation from the flange of a poorly fitting denture. The constant mechanical irritation leads to an inflammatory response, resulting in the proliferation of fibrous tissue.
+== Clinical Features ==
+The condition presents as one or more folds of hyperplastic tissue, usually in the vestibular mucosa. These folds can vary in size and are often painless, although they may become ulcerated or infected if not treated. The tissue is typically firm and fibrous in consistency.
 == Diagnosis ==
-Diagnosis of epulis fissuratum is usually made by a dentist or oral surgeon. They will examine the mouth and may take a biopsy of the tissue to confirm the diagnosis. The condition can usually be distinguished from other oral conditions by its appearance and the presence of ill-fitting dentures.
+Diagnosis of epulis fissuratum is primarily clinical, based on the appearance of the lesion and its association with denture use. A biopsy may be performed to rule out other conditions such as [[squamous cell carcinoma]] or other types of [[oral lesions]].
 == Treatment ==
-Treatment for epulis fissuratum usually involves adjusting or replacing the dentures to remove the source of irritation. In some cases, the excessive tissue may need to be surgically removed.
+[[File:Epulis.jpg|thumb|left|Surgical removal of epulis fissuratum]]
+The primary treatment for epulis fissuratum is the surgical excision of the hyperplastic tissue. This is often followed by the adjustment or replacement of the offending denture to prevent recurrence. In some cases, a [[soft tissue]] conditioning material may be used temporarily to alleviate irritation.
+== Prognosis ==
+The prognosis for patients with epulis fissuratum is generally excellent following surgical removal and proper adjustment of dentures. Recurrence is uncommon if the underlying cause is addressed.
 == Prevention ==
-Prevention of epulis fissuratum involves ensuring that dentures fit properly and are regularly adjusted. Regular dental check-ups can also help to identify and treat the condition early.
-== See also ==
+Preventive measures include regular dental check-ups to ensure proper fit of dentures, patient education on the importance of denture hygiene, and timely adjustment or replacement of dentures as needed.
+== Related Pages ==
+* [[Denture-related stomatitis]]
 * [[Oral pathology]]
-* [[Dentures]]
+* [[Fibroma]]
-* [[Oral surgery]]
 [[Category:Oral pathology]]
-[[Category:Dentistry]]
-[[Category:Conditions of the mucous membranes]]
-{{stub}}
-{{dictionary-stub1}}