Main Article Content


Dentures with dental plaque predispose recurrent hyperplasia on the palatal mucosa. Surgical procedures for the treatment of inflammatory papillary hyperplasia involve postsurgical discomfort and morbidity. This repot describes clinical and histologic aspects of a patient with severe akantolitic inflammatory papillary hyperplasia. The palatal mucosa was treated with a surgical bur with a low-speed handpiece. A new removable denture was performed and adapted. A follow-up of 4 years showed staility of health at palatal mucosa. Patient referred low discomfort and morbidity when using bur technique. Control of removable denture was critical for long-term healing and soft tissue stability. 

Cruz Olivo, E. A., Castro Morales, P. P., & Garzón Rayo, H. (2020). Surgical and nonsurgical treatment of papillary hyperplasia: A case report. Revista Estomatología, 27(2), 19–26.

Östlund SG. The effect of complete dentures on the gum tissues. Acta Odontol Scand 1958;16:357-60.

Canger EM, Celenk P, Kayipmaz S. Denture-related hyperplasia: a clinical study of a Turkish population group Braz Dent J 2009;20:243-8.

Anneroth G, Sigurdson A. Hyperplasic lesions of the gingiva and alveolar mucosa - A study of 175 cases. Acta Odontol Scand 1983;41:75-86.

Bergendal T, Isacsson G. A combined clinical, mycological and histological study of denture stomatitis. Acta Odontol Scand 1983;41:33-44.

Bruch JM TN. Variants of Normal and Common Benign Conditions. In: Bruch JM TN, ed. Clinical Oral Medicin and Pathology. 1. New York: Springer; 2010:23-4.

DeLong L BN. Raised Lesions with a Rough or Papillary Surface. In: General and Oral Pathology for the Dental Hygienist. 7. New York: Saunders 2017: 386-8.

Lin HC, Corbet EF, Lo ECM. Oral mucosal lesions in adult Chinese. J Dent Res 2001;80:1486-90.

Kaplan I, Vered M, Moskona D, Buchner A, Dayan D. An immunohistochemical study of p53 and PCNA in inflammatory papillary hyperplasia of the palate: a dilemma of interpretation. Oral Dis 1998;4:194-9.

Vaz Goulart MC, Lara VS. Inflammatory Papillary Hyperplasia of the Palate: Quantitative Analysis of Candida albicans and its Negative Correlation with Microscopic and Demographic Aspects. Int J Prosthodont 2011;24:235-7.

Orenstein NP, Taylor T. A nonsurgical approach to treating aggressive inflammatory papillary hyperplasia: a clinical report. J Prosthet Dent 2014;111:264-8.

Salonen MAM, Raustia AM, Oikarinen KS. Effect of treatment of palatal inflammatory papillary hyperplasia with local and systemic antifungal agents accompanied by renewal of complete dentures. Acta Odontol Scand 1996;54:87-91.

Antonelli JR, Panno FV, Witko A. Inflammatory papillary hyperplasia: supraperiosteal excision by the blade-loop technique. Gen Dent 1998;46:390-7.

Ettinger RL. The etiology of inflammatory papillary hyperplasia. J Prosthet Dent 1975;34:254-61.

Shear M, Pindborg JJ. Verrucous hyperplasia of the oral mucosa. Cancer 1980;46:1855-62.

Mashberg A, Morrissey JB, Garfinkel L. Study of appearance of early asymptomatic oral squamous-cell carcinoma. Cancer 1973;32:1436-45.

Petridis H, Hempton TJ. Periodontal considerations in removable partial denture treatment: A review of the literature. Int J Prosthodont 2001;14:164-72.

Drake CW, Beck JD. The oral status of elderly removable partial denture wearers. J Oral Rehabil 1993;20:53-60.

Isidor F, Budtzjorgensen E. Periodontal conditions following treatment with distally extending cantilever bridges or removable partial dentures in elderly patients - a 5-year study. J Periodontol 1990;61:21-6.

Derry A, Bertram U. A clinical survey of removable partial dentures after 2 years usage. Acta Odontol Scand 1970;28:581-98.

Schmitz JF. A clinical study of inflammatory papillary hyperplasia. J Prosthet Dent 1964;14:1034-9.

Amaral WJ, Frost JR, Howard WR, Cheatham JL. Cryosurgery in treatment of inflammatory papillary hyperplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1968;25:648-54.

Bergman B, Hugoson A, Olsson CO. Periodontal and prosthetic conditions in patients treated with removable partial dentures and artificial crowns - longitudinal 2-year study. Acta Odontol Scand 1971;29:621-38.

Canakci CF, Canakci V. Pain experienced by patients undergoing different periodontal therapies. J Am Dent Assoc 2007;138:1563-73.

Curtis JW, Jr., McLain JB, Hutchinson RA. The incidence and severity of complications and pain following periodontal surgery. J Periodontol 1985;56:597-601.

Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63 Suppl 11:S240-52.

Joyce CR, Zutshi DW, Hrubes V, Mason RM. Comparison of fixed interval and visual analogue scales for rating chronic pain. Eur J Clin Pharmacol 1975;8:415-20.

Jones CG. Chlorhexidine: is it still the gold standard? Periodontol 2000 1997;15:55-62.


Download data is not yet available.