Inflammatory papillary hyperplasia of the palate: treatment with carbon dioxide laser, followed by restoration with an implant-supported prosthesis.
Inflammatory papillary hyperplasia of the palate is a persistant non-neoplastic lesion that is normally caused by poorly fitting dentures and Candida infection. We describe a case that was managed primarily with topical miconazole, and complete removal of the old acrylic denture. A multidisciplinary approach between surgeon and prosthodontist was used that combined carbon dioxide laser followed by substitution of the old removable denture for a new implant-supported screw retained prosthesis. This avoided direct support of the prosthesis by the palatal mucosa and made oral hygiene easier. The treatment has resulted in complete remission and there has been no recurrence occurred during 3 years of follow-up.
Infante-Cossio
P
P
Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Avenue, 41013-Sevilla, Spain. pinfante@us.es <pinfante@us.es>
Martinez-de-Fuentes
R
R
Torres-Carranza
E
E
Gutierrez-Perez
J L
JL
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D002180:Candidiasis, Oral / Q000473:pathology / Q000601:surgery*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003781:Denture Retention; D003827:Denture, Complete, Upper; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006965:Hyperplasia; D053685:Laser Therapy; D054020:Lasers, Gas / Q000627:therapeutic use*; D008825:Miconazole / Q000627:therapeutic use; D010159:Palate / Q000473:pathology / Q000601:surgery*; D013282:Stomatitis, Denture / Q000473:pathology / Q000601:surgery*
D000935:Antifungal Agents; D015921:Dental Implants; D008825:Miconazole