Pathology · single question

What is the DIAGNOSIS?

Epulis fissuratum
Papillary hyperplasia
Pyogenic granuloma
Peripheral giant cell granuloma

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Correct answer: A. Epulis fissuratum

Epulis fissuratum (denture-induced fibrous hyperplasia) presents as redundant folds of fibrous tissue in the denture vestibule, caused by overextended denture flanges causing chronic irritation. It's firm, asymptomatic, and mucosal colored. Papillary hyperplasia occurs under the palate. Pyogenic granuloma bleeds easily. PGCG is purple and on gingiva.

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