Case Report
 
Application of diode laser for excision of non-inflammatory vascular epulis fissuratum
Amit A Agrawal1, Mahendra Mahajan2, Aarti Mahajan3, Swagat Devhare4
1Department of Periodontics, KBH-MGV Dental College and Hospital, Panchvati, Mumbai-Agra road, Nashik, Maharashtra, India.
2Department of Oral Pathology and Microbiology, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India.
3Department of Oral Pathology and Microbiology, KBH-MGV Dental College and Hospital, Panchvati, Mumbai-Agra road, Nashik, Maharashtra, India.
4Gangapur road, Nashik, Maharashtra, India.

doi:10.5348/ijcri-2012-09-182-CR-12

Address correspondence to:
Amit A Agrawal, BDS, MDS (Periodontics), Assistant Professor
Department of Periodontics, KBH-MGV Dental College and Hospital
Panchvati, Mumbai-Agra road
Nashik-422002, Maharashtra
India
Phone: +919822107562
Email: www.dragrawalgumcare.com, agrodent@rediffmail.com

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How to cite this article:
Agarwal AA, Mahajan M, Mahajan A, Devhare S. Application of diode laser for excision of non-inflammatory vascular epulis fissuratum. International Journal of Case Reports and Images 2012;3(9):42–45.


Abstract
Introduction: Epulis fissuratum is essentially one of overgrowth of fibrous tissue from vestibular mucosa, that most commonly develops when a full denture or partial denture flange begins to impinge/irritate on the tissues in this area. It must be surgically removed with scalpel, electrosurgery or lasers. As a component of the treatment, the denture must usually be re-made or substantially adjusted to prevent recurrence.
Case Report: A fold of fibrous tissue in the anterior left segment of maxillary alveolar ridge with its base in vestibule, in a 65-year-old male patient, was excised using a diode laser. Follow-up was done after 15 days and 1 month and a new complete denture was fabricated for the patient.
Conclusion: Based on the results obtained, it can be concluded that, diode laser is an excellent tool for surgical excision of fibrous overgrowths. It also helps in clean field with good vision, less postoperative bleeding or discomfort. Early recovery is an added advantage, since the patient can be delivered denture early and they can resume their regular activities in lesser time.

Key Words: Epulis fissuratum, Denture induced fibrous hyperplasia, Granuloma fissuratum


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Author Contributions:
Amit A Agrawal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mahendra Mahajan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Aarti Mahajan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Swagat Devhare – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Amit A Agrawal et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)