ArticleClinical case reports2026
Treatment of Epulis Fissuratum Using an In Situ Harvested Free Gingival Graft: A Case Series and Literature Review.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Epulis fissuratum (EF) is a reactive fibrous overgrowth in the oral vestibule caused by chronic denture irritation. We describe two patients (aged 58 and 42 years) in whom EF was excised and vestibuloplasty performed using a free gingival graft (FGG) harvested from the excised lesion itself. In Case 1, a hyperplastic fold of the maxillary anterior alveolar mucosa was removed, the incision apically repositioned, and the thinned, deepithelialized graft immobilized over the periosteum. In Case 2, peri-implant hyperplastic tissue was excised and the graft, prepared using the accordion technique, was positioned around the healing abutments. Case 1 was followed up at 2 and 10 months and Case 2 at 2 months; healing was uneventful in both, with a clinically adequate band of keratinized mucosa and stable vestibular depth at each visit. Within the limitations of this short-follow-up two-case report, using the lesion itself as the graft source provided acceptable keratinized mucosa and vestibular depth. Larger prospective studies with 12-24-month follow-up are warranted.
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