What is the best treatment for an epulis fissuratum observed on a lower denture?

The optimal treatment for an epulis fissuratum, a fibrous hyperplasia often associated with the irritation from a denture, is surgical removal followed by the fabrication of new dentures. This approach addresses both the immediate pathological condition and the underlying cause of irritation.

Surgical removal is essential because the epulis fissuratum is a reactive tissue growth, and simply reducing the denture flange or using a tissue conditioner may not adequately resolve the issue. If the epulis is not removed, the irritation will likely persist, leading to potential recurrence of the hyperplastic tissue. Thus, excising the fibrous growth is necessary for healing and to prevent any further irritation.

After surgical removal, constructing new dentures is also paramount. This ensures that the new prosthesis fits correctly and does not contribute to further irritation of the tissues. A well-fitting denture can help minimize the risk of recurrence by distributing forces evenly and allowing for appropriate oral tissue response.

In contrast, simply reducing the flanges may not eliminate the underlying irritation if the remaining denture still causes trauma. Likewise, a tissue conditioner might temporarily alleviate discomfort but does not address the existing tissue growth. Constructing new dentures without addressing the epulis may lead to continued problems, as the original cause of irritation remains