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Papillary Hyperplasia (Palatal Papillomatosis)

Papillary Hyperplasia (Palatal Papillomatosis)
Etiology • Generally attributed to ill-fitting maxillary denture • Often associated with 24 h/d denture wearing • Candida albicans overgrowth common • May be noted in habitual mouth breathers (nondenture wearers)
Clinical Presentation • Erythematous palatal vault beneath denture • Nodular papillary excrescences • Generally asymptomatic
Diagnosis • Clinical appearance • Biopsy results show fibrous and epithelial papillary hyperpla-

sia; may note pseudoepitheliomatous hyperplasia
Differential Diagnosis • Contact stomatitis • Chronic candidiasis • Denture stomatitis
Treatment • Establishment of good oral hygiene • Possible antifungal therapy • Surgical removal of affected mucosa, if excessive tissue hyper-
plasia • Relining/remaking of denture
Prognosis • Excellent