A 5-week Non-Surgical Approach towards Denture Induced Hyperplasia



Carolina Mayumi Iegami*, Regina Tamaki, Pedro Tortamano Neto
Department of Prosthodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, SP. Brazil


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© 2017 Iegami and Tamaki.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Prosthodontics, School of Dentistry, University of Sao Paulo; Avenida Professor Lineu Prestes, 2227, 05508-000 Sao Paulo, SP, Brazil Tel: 55 11 3091-7888; E-mail: carolinaiegami@usp.br


Abstract

Background

Despite the standard approach towards denture-induced hyperplasia being surgery, as elderly population increases the systemic problems are carried along. Thus, surgery might be risky for patients with medical conditions.

Objective

In this report, a patient with severe inflammatory papillary hyperplasia, medical problems and dental fear was treated with a 5-week nonsurgical protocol.

Method

Once in a week, the upper denture was relined with a zinc enolic paste, for four weeks. In the fifth week, the denture was relined with fast set polymethyl methacrylate resin instead of zinc enolic paste so that the material would last longer than only a week until the new pair of dentures was manufactured.

Results and Conclusion

The generated pressure combined with antioxidant and anti-inflammatory properties of the paste led to the elimination of the inflammatory papillary hyperplasia completely, satisfying the patient and allowing the manufacturing of a new set of complete dentures.

Keywords: Complete denture, Oral disease, Denture rebasing, Hyperplasia, Elderly, Vacuum chamber.