Epulis fissuratum: Difference between revisions
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{{Infobox medical condition | |||
[[File:Epulis.jpg| | | name = Epulis fissuratum | ||
| image = [[File:Epulis.jpg|250px]] | |||
| caption = Epulis fissuratum in the oral cavity | |||
| field = [[Dentistry]] | |||
| synonyms = Denture-induced fibrous hyperplasia | |||
| symptoms = [[Oral mucosa]] overgrowth, irritation | |||
| complications = [[Ulcer (dermatology)|Ulceration]], discomfort | |||
| onset = Gradual | |||
| duration = Chronic | |||
| causes = Ill-fitting [[dentures]] | |||
| risks = Poorly fitting dental appliances | |||
| diagnosis = [[Clinical examination]], [[biopsy]] | |||
| differential = [[Pyogenic granuloma]], [[fibroma]], [[squamous cell carcinoma]] | |||
| prevention = Properly fitting dentures, regular dental check-ups | |||
| treatment = Surgical excision, denture adjustment | |||
| medication = None specific | |||
| prognosis = Good with treatment | |||
| frequency = Common in denture wearers | |||
}} | |||
'''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. | '''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 == | == 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. | 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 == | == 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. | 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 == | ||
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]]. | 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 == | ||
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. | 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 == | == 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. | 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 == | ||
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. | 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. | ||
== See Also == | |||
== | |||
* [[Denture-related stomatitis]] | * [[Denture-related stomatitis]] | ||
* [[Oral pathology]] | * [[Oral pathology]] | ||
* [[Fibroma]] | * [[Fibroma]] | ||
[[Category:Oral pathology]] | [[Category:Oral pathology]] | ||
Latest revision as of 01:49, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Epulis fissuratum | |
|---|---|
| |
| Synonyms | Denture-induced fibrous hyperplasia |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Oral mucosa overgrowth, irritation |
| Complications | Ulceration, discomfort |
| Onset | Gradual |
| Duration | Chronic |
| Types | N/A |
| Causes | Ill-fitting dentures |
| Risks | Poorly fitting dental appliances |
| Diagnosis | Clinical examination, biopsy |
| Differential diagnosis | Pyogenic granuloma, fibroma, squamous cell carcinoma |
| Prevention | Properly fitting dentures, regular dental check-ups |
| Treatment | Surgical excision, denture adjustment |
| Medication | None specific |
| Prognosis | Good with treatment |
| Frequency | Common in denture wearers |
| Deaths | N/A |
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[edit]
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[edit]
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[edit]
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[edit]
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[edit]
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[edit]
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.
