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Surgically excise the epulis fissuratum because even removal of the offending stimulus (ie, denture) will not result in complete resolution. In addition, correct the denture; otherwise, the lesion will recur. Either make a new denture or reline the old denture. The use of laser therapy is discussed in recent studies
Regular dental care can prevent epulis fissuratum. Patients who wear dentures frequently believe that they no longer require care, and, under these circumstances, dentures lose their correct fit and become the source of irritation.With correction of the poorly fitting denture, the prognosis for epulis fissuratum is excellent.
Instruct the patient that regular dental care is necessary and that the oral tissues are changing constantly. This means that dentures are not permanent and need adjustments over time