Consequently, epulis fissuratum is usually observed in the maxillary or mandibular vestibule. Race Most cases of epulis fissuratum are observed in whites. This, no doubt, relates to the predominance of whites as denture wearers. Sex Most studies indicate a clear predilection for epulis fissuratum in females. In addition, more women than men wear dentures and are more likely to seek treatment. Possibly, atrophic epithelial changes secondary to menopause may influence an increased reaction to trauma in older females.
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Abstract A poorly fitted prosthesis can give rise to a plethora of problems like pain, discomfort in mastication and speech and epulis fissuratum. Epulis fissuratum refers to reactive tissue response to excessive mechanical pressure imparted by the poor fit of prosthesis.
In this article, we discuss a case of epulis fissuratum in a year-old male patient. Background Epulis fissuratum, reactive fibrous hyperplasia or denture-induced fibrous hyperplasias are the various names attributed to reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis.
Persistent trauma to oral mucosa may predispose the patient to carcinoma. We present a case of faulty denture and the resultant epulis fissuratum in a year-old male patient Case presentation A year-old male patient reported to the outpatient department with a chief problem of discomfort while using his upper denture from the last 15—20 days.
He has been wearing the current set of dentures from the last 4 years. His medical and family history was non-relevant. On examining the denture, a suction device as shown by arrow in figure 1 B was acrylised on the tissue surface of the maxillary denture. On intraoral examination, a raw eroded irregular patch simulating the shape of the suction device was noticed in the middle of the hard palate figure 1 A. It was surrounded by erythema and was the cause of discomfort for the patient due to excessive and continuous mechanical pressure imparted by faulty maxillary denture.
A diagnosis of denture-induced fibrous hyperplasia was made and the patient was instructed to stop wearing dentures.
Main article: epulis fissuratum This is a fibrous hyperplasia of excess connective tissue folds that takes place in reaction to chronic trauma from an ill fitting denture. It usually occurs in the mandibular labial sulcus. The clinical appearance of these lesions can vary, from erythematous mucosa that is prone to bleeding a manifestation of hyperaemia , to lesions of more dense connective tissue, appearing more pale and firm. This condition typically affects middle-aged and elderly patients. It is causes when a denture irritates the mucosa forming an ulcer.
Epulis fissuratum: consequence of ill-fitting prosthesis