MANAGEMENT OF EPULIS FISSURATUM USING CRYOSURGERY

A CASE REPORT

Abstract

The aim of this report is to present a case showing the treatment of Epulis fissuratum in relation to an ill-fitting denture treated with nitrous oxide cryosurgery. Epulis fissuratum associated with an ill-fitting denture greatly hinders mastication and produces discomfort and pain to the patient. The nitrous oxide cryosurgery can be used effectively in its management, due to its excellent haemorrhage control and postoperative healing. A 64-year-old male reported with Epulis fissuratum in the maxillary anterior vestibular sulcus, which was associated with an ill- fitting denture. Nitrous oxide cryosurgery was used for the treatment of the lesion. During the procedure, nil haemorrhage was achieved and the postoperative healing was satisfactory. Nitrous oxide cryosurgery hence can be used effectively as it has the boon of achieving excellent haemostasis, good healing with minimal postoperative oedema and pain, maintaining an aseptic environment. This technique can be effectively used in the treatment of Epulis fissuratum besides it can also be used in treatment of other oral soft tissue pathologies achieving a plethora of benefits.