Akademik Veri Yönetim Sistemi
FDI WORLD DENTAL CONGRESS 2024, İstanbul, Türkiye, 12 - 15 Eylül 2024, ss.234, (Özet Bildiri)
INTRODUCTION: Epulis fissuratum (EF) is an inflammatory
pseudotumor characterized by fibrous hyperplasia in the
vestibular sulcus. It is mostly caused by chronic irritation and
the use of poorly fitting removable prosthesis. For its treat-
ment, control of prosthesis fit and EF excision are applied.
Excision may reduce the depth of the vestibular sulcus. After
EF excision, vestibuloplasty with free gingival graft (FGG) is
performed to increase the vestibular sulcus depth, kerati-
nized mucosa thickness and ensure prosthesis compatibility.
CASE DESCRIPTION: (EF) is an inflammatory pseudotumor
characterized by fibrous hyperplasia in the vestibular sulcus.
It is mostly caused by chronic irritation and the use of poorly
fitting removable prosthesis. For its treatment, control of
prosthesis fit and EF excision are applied. Excision may
reduce the depth of the vestibular sulcus. After EF excision,
vestibuloplasty with FGG is performed to increase the vestib-
ular sulcus depth, keratinized mucosa thickness and ensure
prosthesis compatibility.
DISCUSSION: EF is a reactive tissue change in the vestibular
mucosa in response to poorly adapted prostheses. EF treat-
ment consists of excision of the lesion following correction of
prosthesis fit. After excision, the vestibular depth becomes
shallow. FGG can be applied to treat the shallow vestibule
depth. In this case, FGG was applied to increase the vestibular
depth and keratinized tissue band after EF excision.
CONCLUSION/CLINICAL SIGNIFICANCE: Chronic long-term
irritation increases the prevalence of mucosal lesions such as
EF. Excision applied for its treatment may lead to shallow ves-
tibular sulcus depth and insufficient keratinized tissue.
Therefore, vestibuloplasty combined with FGG as a comple-
mentary treatment is the best treatment alternative to
increase the vestibular sulcus depth and keratinized tissue.