Oral pathology: cysts and odontogenic tumours: epulis fissuratum: practice question

A Dentistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dentistry · Oral pathology: cysts and odontogenic tumours: epulis fissuratum

Sample item

An edentulous patient has painless, folded redundant tissue in the vestibule along the border of a poorly fitting denture. What is the lesion and its treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Epulis fissuratum, treated by excision and denture correction

Epulis fissuratum is a reactive fibrous hyperplasia caused by chronic irritation from an ill-fitting denture flange, forming folds. Treatment is to excise the tissue and to remake or adjust the denture. The excised tissue is examined histologically.

Option by option

  • A. Verrucous carcinoma, treated by radiotherapy

    Verrucous carcinoma is a warty exophytic neoplasm and not simple folds under a denture.

  • B. Pyogenic granuloma, treated by antibiotics

    A pyogenic granuloma is a red bleeding lesion and does not need antibiotics.

  • C. Epulis fissuratum, treated by excision and denture correction (correct)

    Correct. Chronic denture irritation produces folds of fibrous tissue.

  • D. Peripheral giant cell granuloma, treated by observation

    Peripheral giant cell granuloma is a bluish-red gingival nodule that is excised.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dentistry question

What is the answer to this Dentistry question?

The best answer is C, Epulis fissuratum, treated by excision and denture correction. Epulis fissuratum is a reactive fibrous hyperplasia caused by chronic irritation from an ill-fitting denture flange, forming folds.

Why is "Verrucous carcinoma, treated by radiotherapy" not the answer?

Verrucous carcinoma is a warty exophytic neoplasm and not simple folds under a denture.

Why is "Pyogenic granuloma, treated by antibiotics" not the answer?

A pyogenic granuloma is a red bleeding lesion and does not need antibiotics.

Why is "Peripheral giant cell granuloma, treated by observation" not the answer?

Peripheral giant cell granuloma is a bluish-red gingival nodule that is excised.

What concept does this question test?

It tests Oral pathology: cysts and odontogenic tumours: epulis fissuratum in Dentistry. Treatment is to excise the tissue and to remake or adjust the denture. The excised tissue is examined histologically.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral pathology: cysts and odontogenic tumours: epulis fissuratum?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.