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Tropical Dental Journal - 1st Pan African international dental journal


Tropical Dental Journal



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Published in French in Tropical Dental Journal Volume 45 - March 2022 pages 5-16

Monsieur Ayepa Alain Kouadio Mucosal hyperplasia under prosthesis. Diagnosis and management in two clinical casesMucosal hyperplasia under prosthesis. Diagnosis and management in two clinical cases est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Authors : A.A. Kouadio, O.N. Bandiaky, M. K. Kouame, L. Le Guehennec, K. B. Djeredou, P. Le Bars - Ivory Coast


Résumé

L’usager d’une prothèse amovible peut exprimer des doléances sous la forme d’une douleur localisée, de difficultés masticatoires, d’une instabilité prothétique ou d’une mauvaise perception du rendu esthétique. L’ensemble de ces symptômes recouvrent différentes étiologies, psychiques, tissulaires, neuro-musculaires et articulaires sans oublier l’état général du patient. Les plus fréquentes s’avèrent celles en rapport avec la surface d’appui ostéo-muqueuse. Celle-ci peut être le siège d’une inflammation chronique comme la stomatite, d’hyperplasies inflammatoires réactionnelles et d’ulcérations traumatiques. Avant la confection d’une nouvelle prothèse, le praticien doit traiter ces différentes pathologies.
Pour cela, il est essentiel de se familiariser au dépistage des lésions des muqueuses induites par le port d’une prothèse amovible. Puis d’acquérir une démarche thérapeutique afin de traiter ces pathologies. Ainsi au travers de deux cas cliniques cet article propose la prise en charge de lésions hyperplasiques en rapport avec une prothèse amovible inadaptée.

Abstract
Mucosal hyperplasia under prosthesis. Diagnosis and management in two clinical cases

The user of a removable prosthesis may express complaints in the form of localized pain, chewing difficulties, prosthetic instability, or poor perception of the aesthetic result. All these symptoms cover different etiologies, psychological, tissue, neuro-muscular and articular, not to mention the patient’s general condition. The most frequent are those related to the supporting mucosa. This may be the site of chronic inflammation such as stomatitis, reactive inflammatory hyperplasia, and traumatic ulcers. Before a new prosthesis is made, the practitioner must treat these different pathologies. That’s why, it is essential to become familiar with screening for mucosal lesions induced by wearing a removable prosthesis. Then to acquire a therapeutic approach to treat these pathologies. Thus, through two clinical cases, this article proposes the management of hyperplastic lesions in relation with an unsuitable removable prosthesis.

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