Denture free inflammatory papillary hyperplasia: A rare case report

Abstract

Introduction: Inflammatory papillary hyperplasia (IPH) is a benign mucosal lesion that frequently affects palatal mucosa in denture wearers. Notably, most of the cases are asymptomatic but some of the patients feel the burning sensation and discomfort. In this way, IPH is associated with 24hours use of denture especially at night, so the main treatment modalities focused on denture modification and candidiasis infection inhibition. Current article reports a rare case of IPH in a denture free person. Case report: A 29 years old healthy woman referred to department of oral medicine, School of Dentistry Shahid Sadoughi University of Medical Sciences (Yazd, Iran) with complaint of toothache. In our routine intraoral examination, a red pebbly plaque with irregular and poorly defined borders on palatal vault was inspected. Nystatin suspension was advised. Reexamination was done after one week that reduction in lesion size and erythema was observed and the lesion was improved generally. Unfortunately, she didn’t represent on next follow-up session for no signs and discomfort. Conclusion: IPH is not always associated with dentures, but also deep and abnormal palate could be the cause of this lesion, requiring multidisciplinary approaches between physicians and dentists’ especially oral medicine to resolve this problem completely.