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.