Management of Fibrous Hyperplasia in Geriatric Patient with Hypertension: A Case Report

Background: Fibrous hyperplasia or epulis fissuratum is a name related to reactive tissue response to chronic irritation and trauma caused by dentures that are not properly attached. Persistent trauma to the oral mucosa can cause a carcinoma. The treatment management of epulis fissuratum becomes very challenging for geriatric patients. Objective: To discuss the treatment of fibrous hyperplasia in geriatric patients with a history of hypertensive disease. Case Report: A 63-year-old woman with a history of hypertension presented to the Periodontia Department of Hasanuddin University Dental and Oral Health Hospital with complaints of swollen gingiva, the enlargement beginning ±6 months prior. Clinical examination showed a gingiva 4×1×0.6 cm in diameter along the alveolar linger ridge of the right lower jaw. The inflammation in the gingiva was suspected to be fibrous hyperplasia/epulis fissuratum. The treatment procedure performed was excision of the epulis and administration of cyanoacrylate. Results: One week and one month postoperatively, a good healing process and excellent result with no more gingival enlargement were reported. Conclusion: The management of fibrous hyperplasia with prevention strategies as well as excision and administration of cyanoacrylate is an effective procedure for bleeding control and to accelerate healing in geriatric patients with a history of hypertension. Keywords: epulis fissuratum, fibrous hyperplasia, geriatric, hypertension