Pathology · single question
A firm, often folded/leaf-like fibrous hyperplasia develops along the border of an ill-fitting denture flange. The diagnosis is:
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Correct answer: A. Epulis fissuratum (inflammatory fibrous hyperplasia)
- A. Correct. Epulis fissuratum is a reactive fibrous hyperplasia caused by chronic irritation from an overextended/ill-fitting denture flange, typically forming folds in the vestibule.
- B. A pyogenic granuloma is a red, vascular, often bleeding lesion, not a firm fibrous fold along a flange.
- C. SCC would be indurated/ulcerated and is not the typical flange-related reactive lesion.
- D. A peripheral giant cell granuloma is a purplish gingival lesion, not a denture-flange fibrous fold.