Epulis fissuratum is a benign reactive fibrous hyperplasia of the oral mucosa resulting from chronic mechanical irritation caused by ill-fitting denture flanges. This condition predominantly affects middle-aged and elderly denture wearers, with a higher prevalence in females. The clinical presentation typically features single or multiple tissue folds in the vestibular sulcus or alveolar ridge, often appearing firm and fibrous with intact or ulcerated mucosa. Diagnosis relies primarily on clinical examination correlating tissue overgrowth with denture configuration, although histopathological confirmation remains essential to exclude malignant transformation. Contemporary management encompasses both conservative tissue conditioning approaches for early lesions and surgical excision using conventional scalpels, electrosurgery, or laser modalities, coupled with mandatory prosthetic rehabilitation to prevent disease recurrence.