CASE REPORT
Granuloma fissuratum in a user of removable prosthetic restorations - a case report. Medical and rehabilitation procedures.
 
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Zakład Protetyki Stomatologicznej, Uniwersytet Medyczny w Białymstoku, Polska
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Zakład Chirurgii Stomatologicznej, Uniwersytet Medyczny w Białymstoku, Polska
CORRESPONDING AUTHOR
Anna Jadwiga Kondrat   

Zakład Protetyki Stomatologicznej, Uniwersytet Medyczny w Białymstoku, u. Skłodowskiej-Curie 24A, 15-276, Białystok, Polska
Publication date: 2019-12-04
Submission date: 2019-07-22
Acceptance date: 2019-09-09
 
Prosthodontics 2019;69(4):409–418
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ABSTRACT
Background:
The atrophy of the prosthetic base may result in the loss of both retention and stabilization of the removable prosthetic restorations. As a result of prolonged mechanical injury caused by the edge of the removable prosthetic restoration, a lesion called inflammatory fibrous hyperplasia – granuloma fissuratum – can develop.

Aim of the study:
The paper describes granuloma fissuratum in a patient using removable prosthetic restorations, and rehabilitation procedures.

Discussion:
Granuloma fissuratum occurs in 5-14% of removable dentures users. Most cases are detected in women. The longer the period of use of the same dentures, as well as their circadian use, the higher the risk of developing granuloma fissuratum. The new prosthetic restoration may initially cause a gag reflex. If persistent and intensive, gag reflex leads to avoidance of control visits at the dentist, insufficient oral hygiene and, as a consequence, faster loss of the remaining teeth. The treatment of granuloma fissuratum can be conservative or surgical. It is believed that laser surgery should be the standard for removing granuloma fissuratum.

Conclusion:
A prosthetic restoration should be a therapeutic and rehabilitation device, not an iatrogenic traumatic factor within the stomatognathic system.

eISSN:2391-601X
ISSN:0033-1783