Management of epulis fissuratum with excision and vestibuloplasty

Penatalaksana epulis fissuratum dengan eksisi dan vestibuloplasti

Abstract

Epulis fissuratum (EF) is a reactive tissue response to sustained mechanical stress generated by an ill-fitting denture. This title is important as additional information about EF and its management for dentists and dental specialists. This article demonstrates the treatment of EF by excision and vestibuloplasty. A 61-year-old woman came to a Dental and Oral Hospital with com-plaints of enlargement of the lower left gum felt since about 1 year ago. Initially the size was small like rice but over time it enlarged to what it is now. There was a history of the patient using dentures since about 10 years ago which were installed by a dentist. On clinical examination, a lump was found in the lingual vestibule region 45-36 with a size of 5x2x0.5 cm, pedun-culated, soft consistency and smooth texture. The lesion was diagnosed as EF and was treated with excision and vestibulo-plasty which is the treatment of choice to optimise prosthetic integration by increasing the residual alveolar height. It was con-cluded that ill-fitting greatly increases the prevalence of mucosal lesions, especially EF. Surgical excision and vestibuloplast-ty can be as one of the treatment of choice.