PMC3170081_01
Epulis fissuratum over the alveolar ridge extending to the vestibular sulcus in the lower anterior region.
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fig1
The clinical exam showed completely edentulous and presented a hyperplastic lesion over the alveolar ridge extending to the vestibular sulcus in the lower anterior region (Figures 1 and 2).
Closer view of Epulis fissuratum.
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fig2
The clinical exam showed completely edentulous and presented a hyperplastic lesion over the alveolar ridge extending to the vestibular sulcus in the lower anterior region (Figures 1 and 2).
Cast of the lower arch obtained from irreversible hydrocolloid impression.
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fig3
Casts were obtained (Figure 3), and experimental bases (Figure 4) with wax ridges were made, outlining the lesion area.
Experimental bases were made outlining the lesion area of the cast.
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fig4
Casts were obtained (Figure 3), and experimental bases (Figure 4) with wax ridges were made, outlining the lesion area.
Wax ridges were made over the experimental bases and teeth were mounted following the wax ridges patterns.
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fig5
The teeth were mounted following the wax ridges (Figure 5) and aesthetic approval was received from the patient.
The lesion area was outlined at the lower cast and removed with a burr to the extension of the denture base.
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fig6
After an adequate aesthetic result was obtained, the lesion area outlined at the lower cast was removed with a burr (Figure 6) to the extension of the denture base.
The removed area of the cast correspondent to the lesion was covered with wax.
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fig7
This area of the cast was covered with wax (Figure 7), and both the upper and lower dentures were cured (Figure 8).
Both the upper and lower dentures were polymerized.
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fig8
This area of the cast was covered with wax (Figure 7), and both the upper and lower dentures were cured (Figure 8).
Application of the CO2 laser at the lesion.
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fig9
The lesion removal was made using a carbon dioxide laser (Sharplan 15 F, Israel-FAPESP 97/07645-2), and to carry out the vaporization the CO2 laser was used in continuous mode with a focused beam with diameter of 4 mm and 8 watt (Figure 9) the vaporized area was clinically evaluated to verify the absence of bleeding (Figure 10).
The aspect of the surgical area after the use of CO2 laser.
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fig10
The lesion removal was made using a carbon dioxide laser (Sharplan 15 F, Israel-FAPESP 97/07645-2), and to carry out the vaporization the CO2 laser was used in continuous mode with a focused beam with diameter of 4 mm and 8 watt (Figure 9) the vaporized area was clinically evaluated to verify the absence of bleeding (Figure 10).
The lower denture was rebased with a soft tissue conditioner to allow adequate tissue repair.
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fig11
The aspect of the postsurgical area after 7 days.
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fig12
Postoperative examination was done after seven days and showed satisfactory tissue repair at the surgical area (Figure 12).
The aspect of the post surgical area after 30 days.
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fig13
The postsurgical exams were done after 7, 14, 21, and 30 days (Figure 13) of continual wearing of the prosthesis.