Dental Blog: Dentures and Epulis Fissuratum

If you have just been fitted with dentures, you may not be aware of the side effects and conditions which can be caused by denture use. One of the lesser known conditions is epulis fissuratum. While epulis fissuratum is a benign condition, it can be worrying as the symptoms it causes are very similar to those of oral cancer. Below is a brief guide to epulis fissuratum.

What are the signs of epulis fissuratum?

Epulis fissuratum are lesions which appear on the internal tissue of the mouth. These lesions are typically located under or close to where the tissue comes into contact with your dentures. Because the lesions do not contain nerves, they are usually not painful. However, you may notice that the affected area of your mouth becomes red. If left untreated, there is a risk of the lesions becoming ulcerated.

What is the cause of epulis fissuratum?

This condition is not a disease. The lesion is caused by dentures which do not fit properly. This causes irritation to the gums and the lining of the mouth, resulting in uncontrollable cell division.

How can the condition be treated?

Treatment of epulis fissuratum normally consists of two stages. During the first stage, your dentist will inspect your oral health to rule out other causes of the lesions. They will then remove the lesion. This is a fairly straight forward procedure which will be performed by your dentist, who will use one of two methods.

  • Traditional surgery: Your dentist will use surgical tools to make an incision to cut away the lesion. While this is a speedy operation, it can result in some pain and bleeding during recovery.
  • Laser surgery: You dentist will use a dental laser to burn away the lesion. Because the laser also seals the wound, the recovery time is reduced.

If the lesion has become ulcerated, before performing surgery your dentist may prescribe you antibiotics in order to treat the infection.

Once your dentist has removed the lesion, they will carry out the second stage of treatment. If you dentist can identify which part of the denture is causing the lesion, they will reshape it in order to prevent any further irritation. However, if the shape of your gums has changed, it may be necessary for the dentist to make a completely new set of dentures.

If you are concerned about your dentures or oral health, you should book an appointment with your dentist today.