An extensive denture-induced hyperplasia of maxilla

Abstract

Denture-induced hyperplasia is a reactive lesion arising from excessive and chronic mechanical pressure on the vestibular oral mucosa. It has a female predilection and it is mostly seen in the maxilla. The size of the lesion may be as small as a few millimeters to massive lesion involving the entire vestibule. It is usually asymptomatic but sometimes severe inflammation and ulceration can occur. Elimination of the inflammation and excision of the lesion is the treatment of choice. Denture induced hyperplasia in right maxillary buccal vestibule in a middle age old female patient was presented. Surgical excision was done and new denture was fabricated.

Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

“…Epulis fissuratum or denture-induced hyperplasia is a reactive lesion of the oral cavity caused by low grade chronic trauma from dentures [18]. About 70% of patients wear ill-fit dentures continuously all day long for more than 10 years [19].…”

“…About 70% of patients wear ill-fit dentures continuously all day long for more than 10 years [19]. The lesion appears as an asymptomatic single fold or multiple folds of hyperplastic tissues in the alveolar vestibule along denture flanges with a smooth surface, soft to firm consistency, and a normal coloration (Figure 7) [18, 20]. In some cases, severe inflammation or ulceration may be seen in the bottom of the folds [18].…”

“…The lesion appears as an asymptomatic single fold or multiple folds of hyperplastic tissues in the alveolar vestibule along denture flanges with a smooth surface, soft to firm consistency, and a normal coloration (Figure 7) [18, 20]. In some cases, severe inflammation or ulceration may be seen in the bottom of the folds [18]. It has been reported in 5% to 10% of the jaws fitted with dentures and is more prevalent in the maxilla than the mandible, especially on the facial aspect of the alveolar ridges [18, 19].…”

“…In some cases, severe inflammation or ulceration may be seen in the bottom of the folds [18]. It has been reported in 5% to 10% of the jaws fitted with dentures and is more prevalent in the maxilla than the mandible, especially on the facial aspect of the alveolar ridges [18, 19]. The anterior portions of the jaws are more often affected; however epulis fissuratum of the soft palate has been reported in the literature [20].…”

“…Two-thirds to three-fourths of all cases have been found in females [19, 20]. In women, postmenopausal hormonal imbalance makes the oral mucosa susceptible to a hyperplastic growth [18]. It is more frequent in patients over 40 years; however this entity has been reported in patients from childhood to elderly [1].…”