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J Prosthet Dent. 2014 Apr;111(4):264-8. doi: 10.1016/j.prosdent.2013.07.020. Epub 2013 Dec 18.

A nonsurgical approach to treating aggressive inflammatory papillary hyperplasia: a clinical report.

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Resident, Department of Reconstructive Sciences, Prosthodontic Division, University of Connecticut School of Dental Medicine, Farmington, Conn.
Department Head and Professor, Department of Reconstructive Sciences, University of Connecticut School of Dental Medicine, Farmington, Conn. Electronic address:


Preprosthetic interventions in patients with aggressive forms of inflammatory papillary hyperplasia have historically involved surgery. These procedures often involve significant postoperative discomfort and morbidity. Additionally, some patients who present with dental phobias, aversions to surgery, or underlying systemic disease may not be amenable to this type of surgical intervention. In this report, a patient with severe inflammatory papillary hyperplasia and phobias regarding the dentist and dental surgery was treated nonsurgically, following strict adherence to a clinical protocol. The methodology involved greater patient comfort during treatment, encouraged positive reinforcement to visiting the dentist for recall appointments, and effectively eliminated the underlying inflammatory papillary hyperplasia, allowing for the successful fabrication of the definitive removable prostheses.

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