TITLE:
Tissue Conditioning for Epulis Fissuratum in an Edentulous Patient: A Case Report
AUTHORS:
Aymane Arhzer, Khadija El Assraoui, Rabab El Abdouli, Samira Bellemkhannate
KEYWORDS:
Epulis Fissuratum, Removable Prosthesis, Tissue Conditioning
JOURNAL NAME:
Open Access Library Journal,
Vol.13 No.6,
June
23,
2026
ABSTRACT: Epulis fissuratum is a reactive fibrous hyperplasia commonly associated with the prolonged use of ill-fitting removable dentures. Although benign, this lesion may lead to functional, aesthetic, and prosthetic impairments, thereby complicating oral rehabilitation. Tissue conditioning plays an important role in improving healing outcomes in denture-induced fibrous hyperplasia. In the presence of inflammation, pre-surgical tissue conditioning helps reduce tissue irritation and optimize the surgical environment. Moreover, post-surgical conditioning helps guide wound healing and facilitates the preparation of the supporting tissues for subsequent prosthetic rehabilitation. This work describes the case of a female patient with complete edentulism and an unstable existing denture. Clinical examination revealed localized fibrous hyperplasia secondary to chronic prosthesis-induced irritation. Therapeutic management consisted of a combined approach integrating surgical excision and tissue conditioning, followed by fabrication of new, welladapted complete dentures. Postoperative outcomes were favorable, with satisfactory tissue healing and marked improvement in denture stability, retention, and overall comfort. This work aims to highlight the importance of early diagnosis of denture-induced lesions. Through a clinical case, it illustrates the indication and relevance of post-surgical tissue conditioning in the management of these conditions. Particular attention to regular follow-up visits remains essential to prevent recurrence.