skip to main content

Epulis Fissuratum Management — MFDS Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

EasyOral PathologyEpulis Fissuratum ManagementMFDS Part 1

A patient has a long-standing, clinically benign fibrous fold in the buccal vestibule caused by the flange of an ill-fitting complete denture. What is the most appropriate definitive management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Correct the denture fault and surgically excise the fibrous lesion

The correct answer is D. Epulis fissuratum is a reactive fibrous hyperplasia produced by chronic mechanical irritation from an overextended or poorly fitting denture. Definitive management of an established fibrous lesion requires removal of the hyperplastic tissue and correction of the cause by adjusting, relining or replacing the denture; otherwise recurrence is likely. Excised tissue should be submitted for histopathological examination. Antifungal treatment is appropriate for associated denture candidosis, not fibrous hyperplasia itself. Antibiotics are not indicated without bacterial infection, and radiotherapy has no role in this benign reactive lesion. Observation while leaving the traumatic denture unchanged permits continuing irritation and is inappropriate.

Reference: Almeida D et al. Multidisciplinary treatment of epulis fissuratum: A case report. World Journal of Clinical Cases, 2025. https://pubmed.ncbi.nlm.nih.gov/40726927/