Apolis fissureatum – Reaction losses
Apolis fissureatum | Due to its special anatomical position and its various actions, such as chewing, the oral cavity is constantly exposed to various chronic and continuous stimuli; For this reason, there are many lesions in the mouth called reaction or stimulus lesions (Reactive) or pseudo-tumoral in response to these chronic and continuous stimuli that appear in different areas of the mouth such as the gums, tongue, cheek, palate, alveolar mucosa, floor of the mouth and alveolar bone of the jaw..
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Apolis and soft tissue lesions
A hyperplasia (volume increase) Benign in the gingival connective tissue, which is often a reactive lesion and occurs in response to constant stimulation.. Its other names are granuloma fissuretum, hyperplasia of inflammatory fibrosis, epolis fissuretum.. This condition can be found in toothless people who have lost their dentures (Complete denture) They are used to create the edges of the denture.
Sometimes these lesions also occur during pregnancy, which often resolve after delivery. But if its size is large or it interferes with chewing, it should be removed during pregnancy. These lesions are in the form of smooth and firm swelling, which have different sizes, and its surface is flat, red and sore. These lesions are mostly seen in the front of the jaw.
Diagnosis of these lesions by clinical examination by a dentist and Jaw surgeon of Isfahan It can be done easily and the treatment includes removal of the lesion by surgery or by laser. Laser therapy makes the recovery period very short and easy.
The important point in the treatment is that the irritating factor must be removed so as not to cause the recurrence of the lesion. For this reason, it is necessary to see a dentist if there is a problem with the denture or if there is any swelling in the mouth.
The reactive lesions of the oral cavity include the following lesions:
- Excitatory fibrosis
- Environmental myxoma
- Peripheral cemento fibroma
- Hyperproplasias in response to drugs;
- Apolis fissureatrum
- Palatal papillomatosis and inflammatory papillary hyperplasia
- Pyogenic granuloma or pregnancy tumor
- Apolis granulomatosum
- Fibrosis healing of injury caused by tooth extraction
- Peripheral granuloma cell
- Jeanette central granuloma cell
- Aneurysmal bone cyst
- Traumatic bone cyst
- Traumatic neuroma
- Mukosel
- Ranula
Apolis fissureatum (Cracked food)
Apolis fissuretum lesion is a pseudo-tumoral hyperplasia of fibrous connective tissue in connection with poorly fitting removable dentures.. Due to the lack of stability of mandibular prostheses, apolis fissuretum is more common in the mandible and occurs mostly in the anterior areas and on the buccal side of the alveolar ridge..
This lesion occurs mostly in middle-aged and elderly people, who use dentures, and apolis fissuretum has been reported to be more common in women. Alveolar bone breakdown after pulling teeth over several years causes relatively high prosthesis edges and mild trauma. It becomes continuous.
Reactive lesions of the oral cavity
It is better to replace or reline movable prostheses after 5-10 years in order to prevent the formation of apolis fissuretum. From a clinical point of view, the lesion is in the form of long strips of regular wide tissue near the edges of the prosthesis. (Flange) The prosthesis is placed in the groove between them.
The abundance of Epolis fissuretum in the vicinity of the edges of mobile prostheses is so much that it is often easily diagnosed, but in any case, there must be a malignancy. (Like SCC) Rahmwara considered; For this reason, microscopic examination is necessary. In rare cases, SCC, verrucocarcinoma, and malignant salivary tumors may develop near the edges of the prosthesis and create an appearance similar to apolis fissuretum. As a result, their complete removal by surgery and pathological examination is mandatory..