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Fibrous Hyperplasia: Denture-Related (Epulis Fissurata)

Fibrous Hyperplasia: Denture-Related (Epulis Fissurata)
Etiology • Trauma resulting from an ill-fitting denture • Exuberant fibrous tissue repair secondary to repeated inflam-
mation and trauma
Clinical Presentation • Found on vestibular mucosa, usually at facial aspect of denture
flange • Rounded folds of broadly based fibrous tissue surrounding the
overextended denture flange • Ulceration often noted at depth of tissue folds • More common in anterior segment of the jaws • May occur on hard palate as a polypoid or leaf-like mass
Diagnosis • Location and presence of a chronically ill-fitting denture

Differential Diagnosis • Lymphoma • Soft tissue tumor • Metastatic tumor
Treatment • Excision of all tissue • Relining or reconstruction of new dentures after excision
Prognosis • No recurrence anticipated with properly fitting denture