case_images: PMC3170081_01
case_images: Epulis fissuratum over the alveolar ridge extending to the vestibular sulcus in the lower anterior region.
case_images: DENTISTRY2011-282361.001.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.001.jpg
case_images: fig1
case_images: The clinical exam showed completely edentulous and presented a hyperplastic lesion over the alveolar ridge extending to the vestibular sulcus in the lower anterior region (Figures 1 and 2).
case_images: Closer view of Epulis fissuratum.
case_images: DENTISTRY2011-282361.002.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.002.jpg
case_images: fig2
case_images: The clinical exam showed completely edentulous and presented a hyperplastic lesion over the alveolar ridge extending to the vestibular sulcus in the lower anterior region (Figures 1 and 2).
case_images: Cast of the lower arch obtained from irreversible hydrocolloid impression.
case_images: DENTISTRY2011-282361.003.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.003.jpg
case_images: fig3
case_images: Casts were obtained (Figure 3), and experimental bases (Figure 4) with wax ridges were made, outlining the lesion area.
case_images: Experimental bases were made outlining the lesion area of the cast.
case_images: DENTISTRY2011-282361.004.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.004.jpg
case_images: fig4
case_images: Casts were obtained (Figure 3), and experimental bases (Figure 4) with wax ridges were made, outlining the lesion area.
case_images: Wax ridges were made over the experimental bases and teeth were mounted following the wax ridges patterns.
case_images: DENTISTRY2011-282361.005.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.005.jpg
case_images: fig5
case_images: The teeth were mounted following the wax ridges (Figure 5) and aesthetic approval was received from the patient.
case_images: The lesion area was outlined at the lower cast and removed with a burr to the extension of the denture base.
case_images: DENTISTRY2011-282361.006.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.006.jpg
case_images: fig6
case_images: After an adequate aesthetic result was obtained, the lesion area outlined at the lower cast was removed with a burr (Figure 6) to the extension of the denture base.
case_images: The removed area of the cast correspondent to the lesion was covered with wax.
case_images: DENTISTRY2011-282361.007.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.007.jpg
case_images: fig7
case_images: This area of the cast was covered with wax (Figure 7), and both the upper and lower dentures were cured (Figure 8).
case_images: Both the upper and lower dentures were polymerized.
case_images: DENTISTRY2011-282361.008.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.008.jpg
case_images: fig8
case_images: This area of the cast was covered with wax (Figure 7), and both the upper and lower dentures were cured (Figure 8).
case_images: Application of the CO2 laser at the lesion.
case_images: DENTISTRY2011-282361.009.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.009.jpg
case_images: fig9
case_images: The lesion removal was made using a carbon dioxide laser (Sharplan 15 F, Israel-FAPESP 97/07645-2), and to carry out the vaporization the CO2 laser was used in continuous mode with a focused beam with diameter of 4 mm and 8 watt (Figure 9) the vaporized area was clinically evaluated to verify the absence of bleeding (Figure 10).
case_images: The aspect of the surgical area after the use of CO2 laser.
case_images: DENTISTRY2011-282361.010.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.010.jpg
case_images: fig10
case_images: The lesion removal was made using a carbon dioxide laser (Sharplan 15 F, Israel-FAPESP 97/07645-2), and to carry out the vaporization the CO2 laser was used in continuous mode with a focused beam with diameter of 4 mm and 8 watt (Figure 9) the vaporized area was clinically evaluated to verify the absence of bleeding (Figure 10).
case_images: The lower denture was rebased with a soft tissue conditioner to allow adequate tissue repair.
case_images: DENTISTRY2011-282361.011.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.011.jpg
case_images: fig11
case_images: The aspect of the postsurgical area after 7 days.
case_images: DENTISTRY2011-282361.012.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.012.jpg
case_images: fig12
case_images: Postoperative examination was done after seven days and showed satisfactory tissue repair at the surgical area (Figure 12).
case_images: The aspect of the post surgical area after 30 days.
case_images: DENTISTRY2011-282361.013.jpg
case_images: PMC3170081_01_DENTISTRY2011-282361.013.jpg
case_images: fig13
case_images: The postsurgical exams were done after 7, 14, 21, and 30 days (Figure 13) of continual wearing of the prosthesis.