The Prevalence of Denture Related Hyperplasia in Patients Attending Teaching Dental Center in Sulaimani City
DOI:
https://doi.org/10.56056/396Keywords:
Complete denture, Denture hyperplasia, Epulis fissuratum, Papillary hyperplasiaAbstract
Background and Objectives: One of the typical clinical findings among complete denture users is denture-related hyperplasia, characterized by bone resorption and flabby soft tissues beneath, classified into two types: inflammatory fibrous hyperplasia and inflammatory papillary hyperplasia. The goal of this study is to evaluate the prevalence and factors associated with denture hyperplasia among a group of complete denture wearers.
Methods: A cross-sectional observational study examined 146 complete denture wearers at Shorsh Teaching Dental Center in Sulaimani City between July 2022 and July 2023. A predesigned questionnaire was used, including: presence and types of hyperplasia and its relation to gender, age, type of the prosthesis, duration of wearing the denture, nocturnal denture wearing, history of fracture/repair or reline, professional who fabricated the prosthesis, denture cleaning method, and frequency of cleaning.
Results: The percentage of hyperplasia was 38.4% while inflammatory fibrous hyperplasia and inflammatory papillary hyperplasia types were 35.6% & 1.4% respectively. Hyperplasia was 38(67.9%) of night wearers compared to 21(23.3%) non-night wearers with a highly significant difference (p<0.001). Also; significant relation in history of fracture/repair or reline (p=0.030) and with regard to frequency of denture cleaning (p=0.010). No differences were observed in presence of hyperplasia across age groups (p=0.215), gender (p=0.070), type of prosthesis (p=0.385), duration of wearing dentures (p=0.158), professional who fabricated the prosthesis (p=0.344) and denture cleaning method (p=0.379).
Conclusions: The prevalence of denture hyperplasia was 38.4% which was the more common among night denture wearers.
Downloads
References
1. Mandali G, Sener ID, Turker SB, Ulgen H. Factors affecting the distribution and prevalence of oral mucosal lesions in complete denture wearers. Gerodontology. 2011 Jun;28(2):97–103. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20579108/
2. Akhil K, Paramashiviah R, Venkatesh Prabhuji M. Vestibuloplasty following denture hyperplasia resection with diode laser. J Indian Soc Periodontol. 2020;24(6):583. Available from: https://journals.lww.com/10.4103/jisp.jisp_596_19/
3. Naderi NJ, Eshghyar N, Esfehanian H. Reactive lesions of the oral cavity: A retrospective study on 2068 cases. Dent Res J (Isfahan). 2012 May;9(3):251–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23087727/
4. Atashrazm P, Sadri D. Prevalence of oral mucosal lesions in a group of Iranian dependent elderly complete denture wearers. J Contemp Dent Pract. 2013 Mar 1;14(2):174–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23811641/
5. Lin HC, Corbet EF, Lo EC. Oral mucosal lesions in adult Chinese. J Dent Res. 2001 May;80(5):1486–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11437225/
6. Mortazavi H, Safi Y, Baharvand M, Rahmani S, Jafari S. Peripheral Exophytic Oral Lesions: A Clinical Decision Tree. Int J Dent. 2017;2017(9193831):1–19. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28757870/
7. Gual-Vaqués P, Jané-Salas E, Egido-Moreno S, Ayuso-Montero R, Marí-Roig A, López-López J. Inflammatory papillary hyperplasia: A systematic review. Med Oral Patol Oral Cir Bucal. 2017 Jan 1;22(1): e36–42. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27918740/
8. Zarb GA. A panacea for the edentulous predicament? Int J Prosthodont. 2013;26(5):405–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23998136/
9. Rao Y, D’souza M, Porwal A, Yadav P, Kumar S, Aggarwal A. Clinical and histopathological changes in palatal mucosa following two treatment modalities in patients wearing maxillary complete dentures with suction cup. Contemp Clin Dent. 2014 Apr;5(2):150–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24963236/
10. Jain P, Rathee M. Stability in Mandibular Denture. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan. last updated: 2023 Apr 17. http://www.ncbi.nlm.nih.gov/pubmed/6337253/
11. Brantes M, Azevedo R, Rozza-de-Menezes R, Povoa H, Tucci R, Gouvea A, et al. Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study. Med Oral Patol Oral y Cir Bucal. 2019; e305–13. Available from: http://www.medicinaoral.com/medoralfree01/aop/22826.pdf/
12. Allen PF, McMillan AS. A longitudinal study of quality-of-life outcomes in older adults requesting implant prostheses and complete removable dentures. Clin Oral Implants Res. 2003 Apr 27;14(2):173–9. Available from: https://onlinelibrary.wiley.com/doi/10.1034/j.1600-0501.2003.140206.x/
13. Zwiri AMA. The Prevalence and Associated Factors of Denture Wearing Associated Oral Lesions Among 44Dental Patients Attending College of Dentistry Clinics in Aljouf University. Eur Sci Journal, ESJ. 2016 Mar 30;12(9):326. Available from: http://eujournal.org/index.php/esj/article/view/7201/
14. Azeem SHR, Aqeel R, Zaki A, Ijaz S, Syed S, Nadeem N. Prevalence and Distribution of Denture Induced Oral Mucosal Lesions among patients Managed in Lahore Teaching Hospital. Pakistan J Med Heal Sci. 2022 May 26;16(5):179–82. Available from: https://pjmhsonline.com/index.php/pjmhs/article/view/1110/
15. Patil S, Yadav N, Patil P, Kaswan S. Prevalence and the relationship of oral mucosal lesions in tobacco users and denture wearers in the North Indian population. J Fam Community Med. 2013;20(3):187. Available from: https://journals.lww.com/10.4103/2230-8229.122009/
16. Mubarak S, Hmud A, Chandrasekharan S, Ali A. Prevalence of denture-related oral lesions among patients attending College of Dentistry, University of Dammam: A clinico-pathological study. J Int Soc Prev Community Dent. 2015;5(6):506. Available from: https://journals.lww.com/10.4103/2231-0762.170525/
17. Bozdemir E, Y?lmaz HH, Orhan H. Oral mucosal lesions and risk factors in elderly dental patients. J Dent Res Dent Clin Dent Prospects. 2019 Apr 24;13(1):24–30. Available from: https://joddd.tbzmed.ac.ir/Abstract/joddd-20015/
18. Faiq SK, Ali SI, Khattak SH, Faiq SS. Correlation between epulis fissuratum formation and nocturnal wear in conventional complete denture wearers. J Khyber Coll Dent. 2023 Jun 30;13(2):36–40. Available from: http://journalofkcd.com/index.php/pmsrj/article/view/164/
19. Ogunrinde TJ, Olawale OF. The prevalence of denture related mucosa lesions among patients managed in a Nigerian teaching hospital. Pan Afr Med J. 2020;37(358):1–9. Available from: https://www.panafrican-med-journal.com/content/article/37/358/full/
20. Mohammadi M, Navabi N ZM. Clinical and denture-related characteristics in patients with epulis fissuratum: a retrospective 58 case series. Casp J Dent Res. 2017;6(1):15–21. Available from: https://oaji.net/articles/2017/2081-1493190059.pdf/
21. Taheri Sh, Torabi-Parizi M, Karimi-Afshar M, Haghani J TA. Denture-related oral mucosal lesions among removable denture wearers referred to clinics of Kerman, Iran. J Oral Heal Oral Epidemiol. 2016;5(2):78–83. Available from: https://core.ac.uk/download/pdf/159123339.pdf/
22. Dundar N, Ilhan Kal B. Oral Mucosal Conditions and Risk Factors among Elderly in a Turkish School of Dentistry. Gerontology. 2007;53(3):165–72. Available from: https://karger.com/GER/article/doi/10.1159/000098415/
23. Kfir Y, Buchner A, Hansen LS. Reactive Lesions of the Gingiva: A Clinicopathological Study of 741 Cases. J Periodontol. 1980 Nov;51(11):655–61. Available from: https://aap.onlinelibrary.wiley.com/doi/10.1902/jop.1980.51.11.655/
24. Coelho CMP, Sousa YTCS, Daré AMZ. Denture-related oral mucosal lesions in a Brazilian school of dentistry. J Oral Rehabil. 2004 Feb;31(2):135–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15009597/
25. Canger EM, Celenk P, Kayipmaz S. Denture-related hyperplasia: a clinical study of a Turkish population group. Braz Dent J. 2009;20(3):243–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19784472/
26. Veena K, Jagadishchandra H, Sequria J, Hameed S, Chatra L, Shenai P. An extensive denture-induced hyperplasia of maxilla. Ann Med Health Sci Res. 2013;3(5):7. Available from: http://www.amhsr.org/text.asp?2013/3/5/7/121208/
27. dos Santos CM, Hilgert JB, Padilha DMP, Hugo FN. Denture stomatitis and its risk indicators in south Brazilian older adults. Gerodontology. 2010 Jun;27(2):134–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19545319/
28. Kossioni AE. The prevalence of denture stomatitis and its predisposing conditions in an older Greek population. Gerodontology. 2011 Jun;28(2):85–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20082642/
29. Orenstein NP, Taylor T. A nonsurgical approach to treating aggressive inflammatory papillary hyperplasia: A clinical report. J Prosthet Dent. 2014 Apr;111(4):264–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022391313003041/
30. Fatah LM, Saleh MM, Khalid SS, Alzubadee AF. Prevalence of denture induced oral mucosal lesions in removable denture wearers. DJM. 2024 Apr:26(1):66-78. Available from: https://djm.uodiyala.edu.iq/index.php/djm/article/view/1080/version/1053/
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Banan Sarwer Al-Bajalan, Jwan Fateh Abdulkareem
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in AMJ (The Scientific Journal of Kurdistan Higher Council of Medical Specialties )is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0)
