Exodontia

Papillary Hyperplasia of the Palate

Papillary Hyperplasia of the Palate

What is Papillary Hyperplasia of the Palate?

Papillary hyperplasia of the palate is the technical name for small, tightly packed papillary (wart-like protuberances) growths (of normal tissue cells) that develop in the area of the mouth where the dentures are worn constantly. The roof of the mouth may have a ‘pebbled’ appearance.

The lining of the mouth is often red and swollen – particularly if the papillary hyperplasia is accompanied by Candidiasis (a Thrush infection).

What are its Causes?

The condition may be caused by minor injury, ill-fitting dentures, not cleaning the dentures properly, sleeping with the dentures in or by a chronic Thrush infection (also known as denture stomatitis).

What is the treatment?

Papillary hyperplasia usually needs to be surgically removed (by scalpel, cryosurgery, electro-surgery or with a laser) before the denture is placed, although mild cases may respond to anti-fungal treatment.

Am I likely to get it again?

The administration of topical anti-fungal therapy, removal of mechanical trauma caused by the denture and re-inforcement of hygienic measures ease the disappearance of the papillary hyperplasia.

However, local recurrences are frequent if predisposing factors persist.

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Useful Articles & Websites

Emedicine.com (Dermatology)

Wikipedia

New Eng J Med. Papillary Hyperplasia of the Palate

Med Oral Patol Oral Cir Bucal 2016. Inflammatory Papillary Hyperplasia – A Systematic Review