Prosthodontics & Occlusion · single question

A patient who has worn a complete denture for 15 years presents with inflammatory papillary hyperplasia (IPH) of the palate. Which of the following would be MOST INAPPROPRIATE as an immediate next step?

  1. Refer to an oral surgeon for assessment and possible surgical correction
  2. Refer to a prosthodontist for a new denture once tissues are healthy
  3. Take a final impression immediately to begin the new denture
  4. Instruct the patient to remove the denture at night and improve denture hygiene
Show answer and explanation

Correct answer: C. Take a final impression immediately to begin the new denture

Inflammatory papillary hyperplasia (IPH) results from chronic mucosal irritation by an ill-fitting, overused, or poorly cleaned denture. The inflamed, hyperplastic tissue MUST be treated BEFORE a final impression is taken, because taking a final impression over inflamed or hyperplastic tissue results in an inaccurate denture base that perpetuates the problem. Correct management sequence: (1) Remove denture 24-48 hours daily; (2) antifungal therapy if Candida is present; (3) improve denture hygiene; (4) tissue conditioning or surgical excision for severe IPH; (5) preliminary impression after tissues are healthy; (6) final impression for the new prosthesis. Taking a FINAL IMPRESSION IMMEDIATELY without addressing the inflamed tissue is the MOST INAPPROPRIATE step and the correct 'EXCEPT' answer.

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