Erdoğan T. Y., Acıpınar Ş.
INTERNATIONAL DENTAL JOURNAL, sa.74, ss.243, 2024 (SCI-Expanded)
Özet
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 treatment, 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, keratinized 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 vestibular 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 treatment 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 vestibular sulcus depth and insufficient keratinized tissue. Therefore, vestibuloplasty combined with FGG as a complementary treatment is the best treatment alternative to increase the vestibular sulcus depth and keratinized tissue.