Surgical management of Epulis fissuratum caused by ill-fitting dentures: A case report

Epulis fissuratum is a benign hyperplastic lesion of the oral mucosa that develops as a result of chronic mechanical irritation, most commonly caused by ill-fitting dentures. This lesion typically occurs in the oral vestibule and is characterized by fibrous folds of mucosa along the denture border.
The aim of this case report is to present a clinical case of epulis fissuratum located in the mandibular vestibule and its surgical management.
A 62-year-old female patient presented to the Oral Surgery Clinic with a soft tissue mass in the right mandibular vestibular mucosa, associated with local irritation during denture use. Based on clinical examination, a provisional diagnosis of epulis fissuratum was made. The lesion was treated by surgical excision under local anesthesia, and the excised tissue was submitted for histopathological examination.
Histopathological analysis confirmed the diagnosis of papillomatosis gingivae and epulis fibromatosis. Following surgery, the wound was sutured, and the patient was instructed on postoperative care and prosthetic rehabilitation. Surgical treatment combined with elimination of etiological factors represents an effective approach for the management of this lesion.