Pathology · single question

The definitive treatment for epulis fissuratum includes surgical excision PLUS:

  1. Correcting the denture (relieving/adjusting the overextended flanges and relining)
  2. Long-term systemic antibiotics
  3. Topical antifungals
  4. Daily chlorhexidine alone
Show answer and explanation

Correct answer: A. Correcting the denture (relieving/adjusting the overextended flanges and relining)

  • A. Correct. The lesion is caused by an ill-fitting denture, so eliminating the source — adjusting/relieving the flanges and relining or remaking the denture — is essential along with excision to prevent recurrence.
  • B. Antibiotics do not treat a reactive fibrous hyperplasia.
  • C. Antifungals treat candidiasis, not epulis fissuratum.
  • D. Chlorhexidine alone will not resolve the lesion or its cause.

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