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21 Cards in this Set

  • Front
  • Back
What are some other names for Epulis Fissuratum?
Denture Injury Tumor
Inflammatory Fibrous Hyperplasia
Denture Epulis
What are the following Clinical Features Describing?
Tumor-like hyperplasia of fibrous connective tissue associated with denture flange.
Presents as fold (s), usually two, with flange fitting in between.
The lesion is usually firm and fibrous but may show erythema and ulceration.
Most common on facial aspect in the anterior of either jaw.
It is more common in middle-aged and older females
(two-thirds to three-fourths of the cases are in females).
Epulis Fissuratum
What is caused by:
Chronic irritation or trauma from denture flange making the lesion a reactive hyperplasia? (The denture is typically ill-fitting)
Epulis Fissuratum
What is this Treatment for?

Treatment consists of surgical removal of excess tissue with microscopic examination and the poorly fitting denture should be remade or relined.
Epulis Fissuratum
What are some other names for papillary hyperplasia?
Inflammatory Papillary Hyperplasia
Palatal Papillomatosis
Denture Papillomatosis
What pathology presents clinically as:
Papillary hyperplasia is a reactive tissue growth that usually, but not always, develops beneath a denture.
It typically appears as a painless, papillomatous, “cobblestone” lesion of hard palate although occasionally it occurs on the edentulous mandibular ridge or in association with epulis fissuratum.
The lesion is usually asymptomatic and red due to inflammation.
It is a common lesion in denture wearers.
(Inflammatory) Papillary Hyperplasia
What does the following cause?
Soft tissue reaction to ill-fitting denture and probable fungal overgrowth.
Patients generally have poor oral/denture hygiene.
One study indicated approximately 20 % of the patients wore their dentures 24 hours per day.
What are some treatments for Papillary Hyperplasia?
1. Early cases could go away on their own just by removing the denture for a while

2. Antifungal topical or systemic therapy

3. Excision (for advanced cases)
Is Papillary Hyperplasia premalignant?
No
What is important to educate the patient on after treating Papillary Hyperplasia?
To leave the denture out at night and to practive good denture hygiene
What are some other names for Atrophic (Erythematous) Candidiasis?
Denture Stomatitis
Denture Sore Mouth
What presents as painful, red, hyperemic mucosa often seen under denture the base?
Atrophic Candidiasis
What does a chronic Candida Albicans infection associated w/poor hygiene & ill-fitting denture cause?
Atrophic Candidiasis
What is the treatment for Atrophic Candidiasis?
Antifungals such as Nystatin
Instruction on good oral hygiene
New dentures
Is Atrophic Candidiasis premalignant or an allergic rxn?
No
What is Angular Cheilitis also known as?
Perleche
What may be caused by excessive lip licking, thumb sucking or SAGGING of the FACIAL SKIN in EDENTULOUS (due to LOSS of VERTICAL DIMENSION) or elderly people?
Angular Cheilitis
What are Angular Cheilits Lesions usually infected with?
Lesions are often infected by Candida or Staphylococci
What can be defined as inflammation and atrophy of the skin folds at the angles of the mouth?
Angular Cheilitis
What is the most likely cause to sensitize a patient to an allergy?
the monomer methylmethacrylate
T/F Allergic reactions can also occur in response to antigens in the denture framework
True