Epulis fissuratum is a mucosal hyperplasia that result from chronic irritation induced by a poorly fitting prosthesis. It is a pseudotumor sitting in the vestibule of the jaw; and composed of several layers. This lesion impinges on the prosthetic balance and requiring a pre-prosthetic surgical time. The extent of the hyperplasia in this case makes it impossible to take an accurate impression for performing a cicatrisation guiding prosthesis. Total surgical excision of the lesion was performed followed by a subperiosteally vestibule extension. At the final, an application of laser ND-YAG with the aim of coagulation, bio stimulation, limiting the post-operative consequences and fast healing (Figure 1 and 2).
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