Treatment of denture-induced fibrous hyperplasia with carbon dioxide laser

Luis Silva Monteiro


Treatment of denture-induced fibrous hyperplasia with carbon dioxide laser




Denture-induced fibrous hyperplasia (epulis fissuratum) is a pseudotumor growth located over the soft tissues of the vestibular sulcus caused by chronic irritation from poorly adapted prostheses. The haemostatic capacity of carbon dioxide laser is describe widespread being a useful instrument for oral surgery in patients that suffered from clotting disorders. The aim of this article is to present a case of a large denture-induced fibrous hyperplasia in a patient with antithrombotic medication demonstrating the usefulness of the carbon dioxide laser for treatment of this lesion.  An excision procedure was performed with carbon dioxide laser with additional vestibuloplasty under local anesthesia. After 3 weeks, wound healing was completed uneventfully. No complications were recorded as hemorrhage, pain, swelling or infection. One year after treatment the patient was free of recurrence. The use of carbon dioxide lasers are nowadays the Gold Standard in the excision of this type of pathology especially in patients with hemorrhagic diathesis or antithrombotic therapy.


Denture-induced fibrous hyperplasia; epulis fissuratum; CO2 laser; oral cavity; oral pathology

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