Prosthodontics & Occlusion · single question
When papillary hyperplasia is found under a prosthesis, what should be done BEFORE fabricating a new prosthesis?
Show answer and explanation
Correct answer: D. Treat the underlying condition (papillary hyperplasia) first
- A. INCORRECT — Antifungal cream may be part of management if candidiasis coexists, but it does not address the papillary hyperplasia itself.
- B. INCORRECT — Impressions taken over hyperplastic tissue will be inaccurate and the resulting prosthesis will not fit properly once the tissue is treated.
- C. INCORRECT — Fabricating a prosthesis over untreated pathological tissue will result in a poorly fitting prosthesis and continued tissue irritation.
- D. CORRECT — The papillary hyperplasia must be treated first (either by surgical excision or allowing tissue conditioning with a tissue conditioner) before fabricating a new prosthesis. Healthy baseline tissue is necessary for accurate impressions and optimal prosthetic fit.
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