Management of Denture-induced Hyperplasia

Abstract

Denture-induced hyperplasia is a reactionary lesion to ill-fittingdentures. It is mostly asymptomatic, but the patient may present pain in case of ulceration. Its etiology is multifactorial. Its main cause is chronic trauma; usually due to prosthetic instability.Its diagnosis is based on clinical examination completed by anatomopathological examination for very extensive lesions. The management of denture-induced hyperplasia depends on the clinical aspect and the size of the lesion. It is based on conditioning alone or associated with the surgical removal of the lesion.Tissue conditioning improves the quality of the prosthetic bearing surfaces and restores the physiological characteristics of the tissues. However, surgical exeresis is indicated in the case of fibrous, old hyperplasia andof an important size where tissue conditioning alone is insufficient. The patient should be informed about the importance of regular control visits to prevent the appearance of hyperplasia. This work aims to compare the management of two cases, with tissue conditioning only for the first, and the combination of the two approaches: surgical removal followed by tissue conditioning for the second.