Management Of Epulis Fissuratum Due To Complete Denture Using A Scalpel And Electrocautry: A Case Report

Abstract

Background: Epulis fissuratum is an oral hyperplastic lesion associated with the use of loose and ill-fitting dentures. The clinical picture of epulis fissuratum is a protrusion, sessile, solid consistency, smooth surface, varying in size, has a single or multiple folds, most often multiple folds, the lesion grows involving almost the entire length of the vestibule, ulceration, more often in the anterior maxillary area. Treatment of epulis fissuratum is excision.

Purpose: This case report is expected to add information about the management of epulis fissuratum in patients who wear complete dentures.

Case Presentation: A 67-year-old female patient came to the dentist's office complaining of a lump in the anterior gum area of the upper jaw. The patient wears complete dentures. The patient also experienced similar complaints and had undergone tissue removal surgery about 2 weeks ago. The patient felt pain in the lump. The doctor conducted anamnesis and clinical examination so that the diagnosis of epulis fissuratum could be confirmed. The treatment was surgical excision combined with the use of electrocautery.

Conclusion: The patient was diagnosed with epulis fissuratum caused by long-term denture wear. The patient had previously experienced similar problems. Surgical excision combined with electrocautery demonstrated satisfactory aesthetic and functional results, reduced bleeding during and after surgery, and provided patient comfort without compromising aesthetics.