Epulis fissuratum in the soft palate: Report of a case in a very rare location

Mortazavi, Hamed; Khalighi, Hamid Reza; Jafari, Soudeh; Baharvand, Maryam

doi:10.4103/2155-8213.183798

Cited by 7 publications

(5 citation statements)

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“…About 70% of patients wear ill-fit dentures continuously all day long for more than 10 years [19]. The lesion appears as an asymptomatic single fold or multiple folds of hyperplastic tissues in the alveolar vestibule along denture flanges with a smooth surface, soft to firm consistency, and a normal coloration (Figure 7) [18, 20]. In some cases, severe inflammation or ulceration may be seen in the bottom of the folds [18].…”

Section: Lesions With Smooth Surfacementioning

confidence: 99%

“…It has been reported in 5% to 10% of the jaws fitted with dentures and is more prevalent in the maxilla than the mandible, especially on the facial aspect of the alveolar ridges [18, 19]. The anterior portions of the jaws are more often affected; however epulis fissuratum of the soft palate has been reported in the literature [20]. Two-thirds to three-fourths of all cases have been found in females [19, 20].…”

Section: Lesions With Smooth Surfacementioning

confidence: 99%

“…The anterior portions of the jaws are more often affected; however epulis fissuratum of the soft palate has been reported in the literature [20]. Two-thirds to three-fourths of all cases have been found in females [19, 20]. In women, postmenopausal hormonal imbalance makes the oral mucosa susceptible to a hyperplastic growth [18].…”

Section: Lesions With Smooth Surfacementioning

confidence: 99%

“…It is more frequent in patients over 40 years; however this entity has been reported in patients from childhood to elderly [1]. The size of the lesion varies from less than 1 cm in diameter to massive lesions involving extensive areas on the vestibule [19, 20]. Epulis fissuratum can be treated conservatively or surgically depending on the size of the lesion.…”

Section: Lesions With Smooth Surfacementioning

confidence: 99%

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Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Mortazavi

Safi

Baharvand

et al. 2017

International Journal of Dentistry

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Diagnosis of peripheral oral exophytic lesions might be quite challenging. This review article aimed to introduce a decision tree for oral exophytic lesions according to their clinical features. General search engines and specialized databases including PubMed, PubMed Central, Medline Plus, EBSCO, Science Direct, Scopus, Embase, and authenticated textbooks were used to find relevant topics by means of keywords such as “oral soft tissue lesion,” “oral tumor like lesion,” “oral mucosal enlargement,” and “oral exophytic lesion.” Related English-language articles published since 1988 to 2016 in both medical and dental journals were appraised. Upon compilation of data, peripheral oral exophytic lesions were categorized into two major groups according to their surface texture: smooth (mesenchymal or nonsquamous epithelium-originated) and rough (squamous epithelium-originated). Lesions with smooth surface were also categorized into three subgroups according to their general frequency: reactive hyperplastic lesions/inflammatory hyperplasia, salivary gland lesions (nonneoplastic and neoplastic), and mesenchymal lesions (benign and malignant neoplasms). In addition, lesions with rough surface were summarized in six more common lesions. In total, 29 entities were organized in the form of a decision tree in order to help clinicians establish a logical diagnosis by a stepwise progression method.

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Section: Lesions With Smooth Surfacementioning

confidence: 99%

Section: Lesions With Smooth Surfacementioning

confidence: 99%

Section: Lesions With Smooth Surfacementioning

confidence: 99%

Section: Lesions With Smooth Surfacementioning

confidence: 99%

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Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Mortazavi

Safi

Baharvand

et al. 2017

International Journal of Dentistry

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“…Epulis fissuratum (EF) is an inflammatory fibrous hyperplasia of the oral mucosa, often located over the alveolar ridges or the soft tissues of the vestibular sulcus [ 1 , 2 ]. It is a pathological entity that occurs mostly in middle-aged and older subjects with women predilection [ 3 ]. Its etiology is multifactorial, associated with poor oral hygiene, smoking, vitamin deficiency, and ill-fitting dentures [ 4 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

Prosthetic and surgical management of a sizeable epulis fissuratum: a case report

Ibrahim¹,

Merzouk²,

Abdelkoui³

2022

Pan Afr Med J

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This case report describes the management of a large-sized Epulis Fissuratum (EF) in a 70-year-old female patient using an original prosthetic technique. It consists of a combination of a tissue conditioning and a resection surgery. The patient´s main concern was a mucogingival tissue growth located on the left mandibular area. The interesting clinical findings deriving from this technique are: tissue conditioning is an important phase prior to the surgical resection of a large EF and occlusal functions can be maintained during the procedures with patient´s corrected dentures. After clinical, radiological and pathological examinations, the diagnosis was of an EF induced by an ill fitted mandibular denture. The intervention carried out was a combination of a 2 weeks tissue conditioning period followed by a cold blade surgical resection. After a 3 months follow-up period, a completely healed vestibular sulcus was observed with no scar tissue. The present technique facilitates the resection surgery by removing the inflammatory component of the EF. It also guides the post-surgical tissue healing, allowing the obtention of a deep vestibular sulcus, thus creating a better bearing surface for subsequent renewed dentures. Not depriving the patient of her dentures during the healing process helped to improve her quality of life and her cooperation.

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