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Initially a vascular lesion is usually noted on the skin which can be firm and hard (indurated). Areas of tiny red dots (petechiae) can appear around the lesion or on other parts of the body. If the vascular lesion is internal, these petechiae and bruising can be seen on the skin. Bruising and spontaneous bleeding can also occur.
Due to the strong association with denture-wearing, the lesion tends to occur more in adults than children. There is no gender predilection. [1] In people who wear dentures 24 hours a day, its incidence is around 20%. Inflammatory papillary hyperplasia almost exclusively involves the hard palate, specifically the vault of the palate.
Herpetic gingivostomatitis is an infection caused by the herpes simplex virus (HSV). The HSV is a double-stranded DNA virus categorised into two types; HSV-1 and HSV-2.HSV-1 is predominantly responsible for oral, facial and ocular infections whereas HSV-2 is responsible for most genital and cutaneous lower herpetic lesions.
The cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the soft tissues. [6] Women during pregnancy can also present with an epulis, which will resolve after birth. Fibroepithelial polyps, pedunculated lesions of the palate beneath an upper denture, are associated with this ...
The most common cause of petechiae is through physical trauma such as a hard bout of coughing, holding breath, vomiting, or crying, which can result in facial petechiae, especially around the eyes. Excessive scratching and friction, especially on thin and poorly circulated parts of the body may also cause petechiae.
Palatal petechiae. Petechiae on the soft palate are mainly associated with streptococcal pharyngitis, [6] and as such it is an uncommon but highly specific finding. [7] 10 to 30 percent of palatal petechiae cases are estimated to be caused by suction, which can be habitual or secondary to fellatio. [8]
1–2% of adults [2] Irritation fibroma is a type of fibroma that occurs on the mucosa of the oral cavity . [ 2 ] Irritation fibromas are common benign tumors that are asymptomatic and resemble scarring .
They are small white or yellow cystic vesicles (1 to 3 mm in size) often seen in the median palatal raphe of the mouth of newborn infants (occur in 60-85% of newborns). They are typically seen on the roof of the mouth (palate) and are filled with keratin. They are caused by entrapped epithelium (fissural cyst) during the development of the palate.