Surgical elimination of inflammatory fibrous hyperplasia associated with combination syndrome: a two-year follow-up case report

Inflammatory fibrous hyperplasia (IFH), also known as epulis fissuratum, is a reactive mucosal overgrowth caused by chronic denture-related irritation. This report describes a 58-year-old woman with a painful fibrous enlargement in the maxillary anterior vestibule associated with the long-term use of an ill-fitting complete denture. The lesion was excised using a scalpel, with simultaneous vestibuloplasty performed to increase vestibular depth and improve denture stability. Histopathological examination confirmed the diagnosis of IFH. Following soft tissue healing, a new maxillary complete denture was fabricated, and border adjustments were performed during follow-up. At the two-year follow-up, the surgical site remained stable, with preserved vestibular depth and no evidence of recurrence. This case highlights the importance of combined surgical and prosthetic management in achieving long-term tissue stability.