Diode laser surgery and prosthetic management of complete denture patient with epulis fissuratum- A case report Somanna M Kumar1, Sikri Arpit2,*, Sikri Jyotsana3, Gupta Rekha4, Kaur Harsimran5 1Senior Resident, ESIC Hospital, Sanathnagar, Telangana, India 2Associate Professor& Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India 3Associate Professor & Post Graduate Teacher, Department of Conservative Dentistry & Endodontics, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India 4Professor & Head, Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India 5Consultant Prosthodontist, New Delhi, India *Corresponding Author: Arpit Sikri, Associate Professor & Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India, Email: arpitsikri@gmail.com
Online published on 29 February, 2024. Abstract Background and Objectives A reactive inflammatory lesion called epulis fissuratum is associated with the edge of poorly fitting dentures because of ongoing irritation. The lesion may extend the complete length of one side of the denture. Previously, the only choice for treatment was surgery, but with the development of laser therapy, especially the use of diode lasers, such lesions can now be successfully eliminated with less suffering for the patient. Methods An erythematous hyperplastic tissue was present adjacent to the anterior sulcus region in a male patient and its approximate dimensions were 10.3mm x 23.2mm. It was decided to perform excision and vestibuloplasty with a diode soft tissue laser and then fabricate a vestibular splint as part of the treatment plan in order to prevent wound contraction and the ensuing loss of function. This was done in consideration of the patient's reluctance to undergo surgery, their age and need for faster healing to prepare the soft tissue as soon as possible, and their need to increase the vestibular depth for increasing retention during prosthetic rehabilitation. Results This case report portrays the effective diode laser treatment of a 65-year-old man who had epulis fissuratum in conjunction with the maxillary anterior region. Conclusions Diode lasers have successfully proven their efficacy much above the other types of lasers for the effective removal of soft tissue and other mucogingival lesions. Top Keywords Denture induced hyperplasia, Diode laser, Epulis fissuratum, Oral cavity, Soft tissues. Top |