DISCUSSION:
IPH is a clinical entity or a lesion which is most commonly associated
with the patients of maxillary complete denture. Previous literature
reviewed has reported most of the cases with the ill-fitting denture or
long term usage /night wearers as the possible etiological factor.
However, IPH can occur in non denture wearers too. IPH occurring in the
non denture wearer is a rare entity, till now only 3 cases has been
reported. The first case was in the year 1990, The patient presented in
this case report 6 was a 10-year-old black girl
without a history of a dental prosthesis. It is conjectured that poor
oral hygiene and a habit of mouth breathing contributed to the
occurrence of inflammatory papillary hyperplasia in this patient. The
lesion was surgically removed, and the patient was followed up for a
period of 18 months without recurrence of the lesion.6the second case was in a 60-year-old man with the hard palatal nodular
lesion with the history of tobacco smoking and poor oral hygiene and had
no history of ever wearing a removable prosthesis. diagnosis of IPH was
made with a palatal mucosal biopsy, and the patient was advised to quit
smoking. The topical application of miconazole 2%, three times a day
for 3 weeks, was prescribed.7 the third case was A 29
years old healthy woman In routine intraoral examination, a red pebbly
plaque with irregular and poorly defined borders on palatal vault was
inspected. Nystatin suspension was advised. Reexamination was done after
one week and reduction in lesion size and erythema was
observed.8 The case which has been reported here was
75 year old man with no history of denture had developed lesion in mid
palatal region. Patient had the history of usage of inhalational
steroids, hence it can be hypothesized that this would have led to the
development of the lesion. Yet further research is required in this
regard about the etiopathogenesis of IPH in such cases.