Fibroepithelial Polyp and Inflammatory Denture Hyperplasia
These are are both reactive hyperplasia from chronic irritation/trauma so basically the same thing just polyp vs nodule. Both can also be termed Traumatic Fibroma
Synonymous with papillary hyperplasia of the palate and epulis fissuratum
Etiology and Pathophysiology
Contributory factors :
- inflammatory hyperplastic reaction caused by chronic irritation
Prevalence
Histological Features
Clinical Features
- sessile or pedunculated pink nodules
- Slow growing
- Located on alveolar ridges or denture bearing areas, usually seen under dentures
Location
- on ridges or denture bearing areas
- commonly found in vestibular sulcus
Differential Diagnoses
- Fibroepithelial polyp
- Inflammatory denture stomatitis
- OSCC
Relevant Clinical Investigations
- Full blood count
- Ferritin/ iron studies
- Vitamin B12
- Folate
- Biopsy
- OPG to rule out underlying bone involvement
Patient Management
- Local surgical excision
- New, well-fitting dentures
- Denture hygiene