Epulis fissuratum

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.

Causes

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

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.

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.

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.

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

• Oral pathology
• Dentures
• Oral surgery

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