Dentaltown September 2017 - 62

Answers

6

A 42-year-old woman presents for
evaluation of a growth on the lower
lip. It was noted two months ago,
she reports, after accidentally biting her
lip severely while eating a sandwich. The
lesion sometimes decreases in size, but
then returns to its current size. It is not
painful, but she finds herself biting on it
frequently because of its size.

7

A 66-year-old man presents for
evaluation of a white lesion on the
left side of the tongue, which was
noticed at his dentist's office. He is not
sure how long it's been there, and it does
not cause pain. All adjacent teeth are
smooth. He does not report biting the
tongue recently and discloses a history
of smoking cigarettes-one pack per
day for 25 years.

8

A 63-year-old man presents for evaluation of the left buccal mucosa.
He would like to have new dentures
made, but his dentist referred him for
evaluation before this. The patient says
that his current denture impinges on
the lesion, causing pain. The lesion has
been present for eight months and has
increased in size. It is severely painful,
and he cannot open his mouth as wide
as he used to. He smokes 1½ packs of
cigarettes per day, and has done so for
the past 40 years.

9

A 35-year-old woman presents
with a lesion on her lip that began
shortly after a dental procedure.
She has had these before. They generally
last for a week.

1

Leaflike denture fibroma
(fibroepithelial polyp) and
inflammatory papillary hyperplasia
The leaf like denture f ibroma is a
type of fibrous hyperplasia caused
by wearing
a n ill-f itting
denture. The
photo is characteristic, with
a f lattened,
pink growth attached to the palate
by a narrow stalk. This usually sits in
a cupped-out depression on the palate.
The above lesion also shows characteristics of inflammatory papillary
hyperplasia, which is a reactive growth
of tissue that develops under a denture.
It can also be associated with Candida
organisms. Risk factors for developing
this are an ill-fitting denture, poor
denture hygiene and wearing the denture
24 hours a day.

2

Traumatic ulcer
Traumatic etiology must be
considered in areas that show a clear
relation to a
local injury.
While these
lesions generally heal in
t wo we ek s,
they will not heal appropriately if the
source of trauma is not removed. In
this patient's case, he needed to stop
using the maxillary denture until the
site healed, after which a mandibular
denture will need to be fabricated.

Continued on p. 64

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SEPTEMBER 2017 // dentaltown.com



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Table of Contents for the Digital Edition of Dentaltown September 2017

Dentaltown September 2017 - Intro
Dentaltown September 2017 - Cover1
Dentaltown September 2017 - Cover2
Dentaltown September 2017 - 1
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