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Intermediate Technical IVT

Epulis Fissuratum

Pronunciation: ep-YOO-lis fis-yoo-RAH-tum

A benign hyperplastic tissue reaction of the oral mucosa, characterised by fibrous folds or flaps of tissue forming around the flanges of an ill-fitting denture.

Full Definition

Epulis fissuratum, also known as denture-induced fibrous hyperplasia or inflammatory fibrous hyperplasia, is the most common reactive lesion associated with denture wearing. The chronic trauma from an overextended or loose denture flange stimulates reactive fibrous proliferation, producing one or more folds of firm, pink tissue. Histologically, the tissue shows fibrous hyperplasia with variable inflammation. Editors should note that it is distinct from denture stomatitis (erythematous candidiasis under a denture) and from irritation fibroma. The preferred modern term in some classifications is 'denture-induced fibrous hyperplasia.'

Usage

Usage note: The Latin plural is 'epulides fissurata'; editors should not write 'epulis fissuratums.' Distinguish from 'denture stomatitis,' which is an erythematous mucosal candidal infection beneath the denture base, not a fibrous proliferation.

In Context

  • "Epulis fissuratum was identified in the vestibular mucosa adjacent to the lower denture flange; the patient was referred for denture adjustment prior to excision." — Oral medicine clinic letter
  • "The editor corrected the plural 'epulis fissuratums' to 'epulides fissurata' in the methods section of the case series." — Case series manuscript editing

Also known as

Denture-induced Fibrous Hyperplasia Inflammatory Fibrous Hyperplasia Denture Granuloma

Don't confuse with

Denture Stomatitis Irritation Fibroma Epulis (unqualified)

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