Epulis Fissuratum Treatment & Management

Updated: Nov 12, 2021
  • Author: Diane Stern, DDS; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Treatment

Surgical Care

Surgically excise the epulis fissuratum because even removal of the offending stimulus (ie, denture) will not result in complete resolution. In addition, correct the denture; otherwise, the lesion will recur. Either make a new denture or reline the old denture. The use of laser therapy is discussed in recent studies. [8, 9, 10, 11]  Vyasarayani et al reported the use of liquid nitrogen cryosurgery to treat epulis fissuratum in a 71-year-old man who was receiving anticoagulant therapy. [12]

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Consultations

Consultations are as follows:

  • Oral and maxillofacial surgeon for excision

  • General dentist or prosthodontist for correction of the denture

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