Removal of Epulis
The lesion is usually painless. The usual appearance is of two excess tissue folds in alveolar vestibule/buccal sulcus, with the flange of the denture fitting in between the two folds.It may occur in either the maxillary or mandibular sulcids although the latter is more usual. Anterior locations are more common than posterior. Less commonly, there may be a single fold. The lesion may appear on the lingual surface of the mandibular alveolar ridge.
The cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the soft tissues. Women during pregnancy can also present with an epulis, which will resolve after birth. Lesions of the palate beneath an upper denture, are associated with this condition.