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Pathology · single question

For the same patient with epulis fissuratum, what is the appropriate next step?

  1. Assessment/adjustment of the prosthesis flanges (relieve the irritation source first)
  2. Biopsy taken from the center of the ulcer
  3. Incisional biopsy
  4. Excisional biopsy
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Correct answer: A. Assessment/adjustment of the prosthesis flanges (relieve the irritation source first)

The first, most conservative step for a denture-irritation lesion like epulis fissuratum is to relieve the causative factor — adjusting or relining the overextended denture flange — and reassess; lesions that persist or fail to resolve after removing the irritant would then warrant biopsy (typically excisional, given the well-defined and benign nature of the lesion), rather than jumping straight to biopsy as the first step.

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