Prosthodontics & Occlusion · single question

What is the FIRST step in treating epulis fissuratum?

  1. Surgical excision
  2. Fix/reline the denture flanges
  3. Prescribe antibiotics
  4. Take a new final impression
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Correct answer: B. Fix/reline the denture flanges

The FIRST step is to eliminate the CAUSE — fix the overextended denture flanges that caused the chronic irritation. Surgical excision may follow, but removing the tissue without addressing the cause allows recurrence. Antibiotics don't treat mechanical fibrous hyperplasia. Final impression is premature — the tissue needs to be treated/reduced first.

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