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
Etiology and Pathophysiology
Reactive hyperplasia from chronic irritation/trauma
Contributory factors :
- Bite trauma
- Denture irritatoin
- Food impaction
- Poor Oral hygiene
Prevalence
Histological Features
- areas of intense chronic inflammation
- ulcerated mucosa
- epithelial hyperplasia
- Non-encapsulated nodular mass
- Fibrous connective tissue with collagen bundles interspersed with fibroblasts, blood vessles and scattered chronic inflammatory cells
- overlying surface of squamous epithelium
Clinical Features
- smooth, round, exophytic nodule
- Pedunculated or sessile with normal overlying epithelium
- Can be ulcerated or demonstrate thickened white surface (hyperkeratosis )
- Asymptomatic generally
- 1-2 cm in diameter
Location
- generally found in the labial mucosa, tongue or palata
Appearance
Differential Diagnoses
- Inflammatory denture hyperplasia
- Pyogenic granuloma
- Neurofibroma
- Squamous papilloma
Relevant Clinical Investigations
- Definitive diagnosis made upon histopathological examination
- Highly suspected based on clinical features
Patient Management
- Surgical excision with removal of local irritants
- Removal of local irritants to prevent recurrence