Hiperplasia gengival inflamatória relacionada a prótese total: relato de caso

Abstract

Introduction: Inflammatory gingival hyperplasia is a benign proliferative condition often associated with the use of poorly adapted dental prostheses, mainly caused by chronic trauma to oral tissues. This lesion occurs more frequently in female and fair-skinned patients. Objective: To present a clinical case report of a patient with inflammatory gingival hyperplasia, characterized by excessive tissue growth in the palate, detailing the case and the surgical treatment of the lesion. Case Report: A 65-year-old female patient in good general health was referred to the dental clinic at Universidade Unicesumar in Curitiba for the removal of gingival hyperplasia associated with the use of an ill-fitting prosthesis, aiming to create a new full prosthesis. The surgical approach was divided into two sessions, one for each hemi-arch. The histopathological result confirmed the diagnosis of fibroepithelial hyperplasia, and the patient showed good postoperative progress, with no signs of recurrence. Conclusion: Inflammatory fibrous hyperplasia is widely associated in studies with ill-fitting prostheses, emphasizing the importance of proper adaptation during prosthesis fabrication and good oral hygiene practices. Surgical intervention, combined with prosthetic adjustment and continuous follow-up, proved effective in eliminating the lesion and preventing recurrence, contributing to the improvement of the patient’s quality of life.