Leaning objective

Define denture induced hyperplasia

Etiology of denture induced hyperplasia

Causes of denture induced hyperplasia

Clinical features of denture induced hyperplasia

Diagnosis of denture induced hyperplasia

Management of denture induced hyperplasia

DENTURE INDUCED HYPERPLASIA: is reactionary lesion to ill-fitting dentures.it is mostly asymptomatic, but the patients may present pain in case of ulceration. example of denture induced hyperplasia is epulis fissuratum,typically appears as a hyperplastic fold or ridge of tissue along the denture border,usually in the vestibule areas of the mouth

ETIOLOGY OF DENTURE INDUCED HYPERPLASIA; is multifactorial and several condition contributing factors; like chronic iritation,mechanical factor,e.g design, fit and material of the denture

1: III-fitting dentures

Poorly adapted dentures that do not properly fit the underlying alveolar ridge can cause chronic irritation and trauma to the total mucosa

2 mechanical factors

Factors such as the design,materials, and edges of the denture can contribute to the development of denture induced hyperplasia

3: inflammation

Underlying inflammation,either due to poor oral hygiene, infection,or an allergic reaction to the denture material,can exacerbate the hyperplastic response.the presence of inflammation can further stimulate the growth of thehyperplastic tissue.

4: genetic predisposing;

Some individuals may have a genetic predisposition to developing fibrotic or hyperplastic lesions in response to chronic irritation or trauma

5: immunological factors

The immune systems response to the presence of a foreign material.immunological reaction can trigger an inflammatory reaction response to sitimulate the growth of excess fibrous tissue

6: poor denture hygiene

Inadeguate cleaning and failure to remove the denture for extended periods can lead to the accumulation of plaque.

1: localized or diffuse enlargement

The hyperplastic lesion can appear as a localized,focal enlargement or as a more diffuse,generalized overgrowth of the oral mucosa

2: smooth or nodular surface

The surface of thehyperplastic tissue can range from smooth and uniform to a more nodular or lobulated appearance

3: color variation

The color of the hyperplastic tissue can vary from normal pink color of the oral mucosa to a more reddish or erythematous appearance

4: consistency and texture;

The hyperplastic is tissue is typically firm, resilient, and often has a fibrous consistency

It may feel doughy or have a rubbery texture upon palpation

5: Absence of malignant characteristics;

Denture –induced hyperplasia is a benign condition and does not exhibit features of malignancy such as rapid growth, ulceration, or invasive behavior

appearance in relation to the denture

Hyperplastic tissue is typically found in close proximity to the denture,either along the borders r in areas where the denture,exerts the most pressure or friction

7: symptomatology

Patient with denture induced hyperplasia may experience varying degree of symptoms including; discomfortor pain when wearing the denture

Difficulty with denture retention or stability

Altered speech or chewing ability due to the enlarged tissue

1: patient history

2: clinical examination

3: denture evaluation

4: diagnosis

Biopsy

Radiographic image

5 clinical correlation

1: oral hygiene instruction

2: pharmacological therapy

3surgical intervention

4: denture adjustment or replacement