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Epithelial hyperplasia is a thickening of the outer layer of the mucosa (the lining of the inside of the mouth) and the skin. This outer layer is called the epithelium. The degree of thickening can vary greatly. Sometimes it may even go unnoticed. In this case, we would discover the condition only when we examine the tissue under a microscope after having removed it surgically for other reasons. However, epithelial hyperplasia can also cause enough thickening in the mouth's lining to make it obvious when we visually examine the area. There are many causes for epithelial hyperplasia. Irritation of the epithelium is the most common cause. Some irritating factor include habitual lip and cheek biting, holding objects such as toothpicks, pencils, or tobacco pipes in the mouth, wearing dental appliances such as orthodontic bands and wires, restorations with rough edges, and wearing full and partial dentures. Also, many conditions that cause swelling in the mouth, such as gum disease, traumatic ulcers, and canker sores, for example, also have areas of epithelial hyperplasia associated with them. Sometimes there is no obvious cause.

of this, the condition requires only minor treatment.

* We will first determine the source of the irritation that caused the tissue thickening to develop.

irritating habits to the patient's attention. This may be adequate treatment to bring about reversal of the hyperplasia..

* If the hyperplasia persists, we may perform surgery to remove the thickening if it causes discomfort or is frequently ulcerated.