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Application of Diode Laser for Excision of Noninflammatory Vascular Epulis Fissuratum

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Introduction: Epulis fissuratum is essentially one of overgrowth of fibrous tissue from vestibular mucosa, that most commonly develops when a full denture or partial denture flange begins to impinge/irritate on the tissues in this area. It must be surgically removed with scalpel, electrosurgery or lasers. As a component of the treatment, the denture must usually be re-made or substantially adjusted to prevent recurrence. Case Report: A fold of fibrous tissue in the anterior left segment of maxillary alveolar ridge with its base in vestibule, in a 65-year-old male patient, was excised using a diode laser. Follow-up was done after 15 days and 1 month and a new complete denture was fabricated for the patient. Conclusion: Based on the results obtained, it can be concluded that, diode laser is an excellent tool for surgical excision of fibrous overgrowths. It also helps in clean field with good vision, less postoperative bleeding or discomfort. Early recovery is an added advantage, since the patient can be delivered denture early and they can resume their regular activities in lesser time.

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