Published date: Apr 25 2022

Journal Title: KnE Medicine

Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar

Pages: 23-32

DOI: 10.18502/kme.v2i1.10834

Gustivanny Dwipa Agustivannydwipa@gmail.comPeriodontology Specialist Educational Program, Department of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Hasanuddin ThahirDepartment of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Sri OktawatiDepartment of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Ira Farwiany SyafarPeriodontology Specialist Educational Program, Department of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Muhammad YudinPeriodontology Specialist Educational Program, Department of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Background: Fibrous hyperplasia or epulis fissuratum is a name related to reactive tissue response to chronic irritation and trauma caused by dentures that are not properly attached. Persistent trauma to the oral mucosa can cause a carcinoma. The treatment management of epulis fissuratum becomes very challenging for geriatric patients.

Objective: To discuss the treatment of fibrous hyperplasia in geriatric patients with a history of hypertensive disease.

Case Report: A 63-year-old woman with a history of hypertension presented to the Periodontia Department of Hasanuddin University Dental and Oral Health Hospital with complaints of swollen gingiva, the enlargement beginning ±6 months prior. Clinical examination showed a gingiva 4×1×0.6 cm in diameter along the alveolar linger ridge of the right lower jaw. The inflammation in the gingiva was suspected to be fibrous hyperplasia/epulis fissuratum. The treatment procedure performed was excision of the epulis and administration of cyanoacrylate.

Results: One week and one month postoperatively, a good healing process and excellent result with no more gingival enlargement were reported.

Conclusion: The management of fibrous hyperplasia with prevention strategies as well as excision and administration of cyanoacrylate is an effective procedure for bleeding control and to accelerate healing in geriatric patients with a history of hypertension.

Keywords: epulis fissuratum, fibrous hyperplasia, geriatric, hypertension

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