Inflammatory papillary hyperplasia

Inflammatory Papillary Hyperplasia (IPH) is a benign mucosal condition often found in the oral cavity, specifically the hard palate and alveolar ridge. It is characterized by the formation of multiple papillary projections on the mucosal surface.

Etiology

The exact cause of IPH is not known, but it is often associated with chronic irritation or trauma to the oral mucosa. This can be due to ill-fitting dentures, poor oral hygiene, or chronic infection. The condition is more common in individuals who wear dentures, especially those who wear them continuously without removing them for cleaning.

Clinical Features

IPH presents as a red, inflamed area of the oral mucosa with multiple small, finger-like projections. These projections can vary in size and are often covered with a layer of plaque. The condition is usually asymptomatic, but some patients may experience discomfort or pain, especially when eating or wearing dentures.

Diagnosis

Diagnosis of IPH is primarily based on clinical examination. The characteristic appearance of the condition is usually sufficient for diagnosis. However, a biopsy may be performed to confirm the diagnosis and rule out other conditions such as oral cancer.

Treatment

Treatment of IPH involves addressing the underlying cause of the condition. This may involve adjusting or replacing ill-fitting dentures, improving oral hygiene, or treating any underlying infections. In some cases, surgical removal of the papillary projections may be necessary.

Prognosis

With appropriate treatment, the prognosis for IPH is generally good. However, if left untreated, the condition can lead to discomfort and difficulty wearing dentures, and in rare cases, it can progress to oral cancer.

See Also

• Oral mucosa
• Oral cancer
• Dentures
• Biopsy