Multidisciplinary treatment of epulis fissuratum: A case report

doi:10.12998/wjcc.v13.i21.106413

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Jul 26, 2025 (publication date) through Apr 27, 2025

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Jul 26, 2025; 13(21): 106413
Published online Jul 26, 2025. doi: 10.12998/wjcc.v13.i21.106413

Multidisciplinary treatment of epulis fissuratum: A case report

Luis Antonio González Gómez, Nora Esther Guedea Preciado, Melissa Martínez Nieto, Ruth Rodríguez Montaño, Mario A Alarcón-Sánchez, Erandis D Torres-Sánchez, Juan Carlos Gómez Mireles, Elizabeth Acevedo Ambriz, Sarah M Lomelí Martínez

Luis Antonio González Gómez, Nora Esther Guedea Preciado, Melissa Martínez Nieto, Juan Carlos Gómez Mireles, Elizabeth Acevedo Ambriz, Department of Integrated Dentistry Clinics, University Center of Health Sciences, University of Guadalajara (CUCS-UdeG), Guadalajara 44340, Jalisco, Mexico

Ruth Rodríguez Montaño, Department of Health and Illness as an Individual and Collective Process, University Center of Tlajomulco, University of Guadalajara (CUTLAJO-UdeG), Tlajomulco de Zuñiga 45641, Jalisco, Mexico

Ruth Rodríguez Montaño, Mario A Alarcón-Sánchez, Institute of Research in Dentistry, Department of Integral Dental Clinics, University Center of Health Sciences, University of Guadalajara (CUCS-UdeG), Guadalajara 44340, Jalisco, Mexico

Mario A Alarcón-Sánchez, Department of Molecular Biology and Medicine, Molecular Biology, University Center of Health Sciences, University of Guadalajara (CUCS-UdeG), Guadalajara 44340, Jalisco, Mexico

Erandis D Torres-Sánchez, Sarah M Lomelí Martínez, Department of Medical and Life Sciences, La Ciénega University Center, University of Guadalajara (CUCIENEGA-UdeG), Ocotlán 47810, Jalisco, Mexico

Sarah M Lomelí Martínez, Department of Well-being and Sustainable Development, University Center of the North, University of Guadalajara (CUNORTE-UdeG), Colotlan 46200, Jalisco, Mexico

Co-corresponding authors: Erandis D Torres-Sánchez and Sarah M Lomelí Martínez.

Author contributions: González Gómez LA, Guedea Preciado NE, and Lomelí Martínez SM contributed to the diagnosis, surgical treatment, and management of the patient; Martínez Nieto M, Rodríguez Montaño R, Alarcón-Sánchez MA, and Torres-Sánchez ED contributed to the acquisition and analysis of data; González Gómez LA, Guedea Preciado NE, Lomelí Martínez SM, Martínez Nieto M, Rodríguez Montaño R, and Alarcón-Sánchez MA drafted the manuscript and critically revised the manuscript; Gómez Mireles JC, Acevedo Ambriz E, González Gómez LA, Torres-Sánchez ED, and Lomelí Martínez SL contributed to the conceptualization and supervision of the study; Torres-Sánchez ED and Lomelí Martínez SM contributed equally as co-corresponding authors; All authors have read and approved the final manuscript.

Informed consent statement: The study participant provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Sarah M Lomelí Martínez, PhD, Adjunct Associate Professor, Department of Medical and Life Sciences, La Ciénega University Center, University of Guadalajara (CUCIENEGA-UdeG),1115 Universidad Avenue, Colonia Lindavista, Ocotlán 47810, Jalisco, Mexico. sarah.lomeli@academicos.udg.mx

Received: February 26, 2025
Revised: March 21, 2025
Accepted: April 3, 2025
Published online: July 26, 2025
Processing time: 61 Days and 2.2 Hours

Core Tip

Core Tip: The present clinical case described the multidisciplinary management of a patient with epulis fissuratum developed after 30 years of continuous use of a complete maxillary prosthesis without removal. The treatment was carried out in two phases: Surgical and prosthetic. In the surgical phase, the hyperplastic tissue was removed, and a vestibuloplasty with free gingival graft was performed. The prosthetic phase involved the fabrication of new complete prostheses to restore oral function and aesthetics. The comprehensive treatment, which combined surgical techniques and correct prosthetic rehabilitation, guarantees favorable long-term results.