A patient who has been wearing denture for quite long time reported with flabby tissue behind the ridge. What will be the most likely diagnosis?
**Core Concept:** Denture stomatitis is a common complication in patients wearing dentures for an extended period, characterized by inflammation and redness of the oral mucosa. Flabby tissue behind the ridge is a typical presentation of denture stomatitis.
**Why the Correct Answer is Right:**
Option C (Friction between the denture and underlying tissue) and Option D (Acquired Immunodeficiency Syndrome) are incorrect because they do not specifically address the clinical presentation described (inflammation and redness of oral mucosa).
Option B (Denture stomatitis) is the right answer because it is a common condition caused by fungal infections, specifically Candida species, in patients wearing dentures. The fungal infection leads to inflammation and redness of the oral mucosa, mimicking the described clinical presentation.
**Why Each Wrong Option is Incorrect:**
Option A (Swallowing difficulty due to pharyngeal paresis) is incorrect because it does not explain the inflammation and redness of oral mucosa.
Option B (Dental caries) is incorrect because dental caries primarily affect teeth and not the oral mucosa, and the described symptoms do not match the typical presentation of dental caries.
Option D (Acquired Immunodeficiency Syndrome) is incorrect because it is a systemic condition affecting the immune system, whereas the described symptoms are localized to the oral mucosa and not a general health issue.
**Clinical Pearl:** Denture stomatitis is a common condition that should be considered in patients wearing dentures with oral mucosal inflammation and redness. Prompt diagnosis and treatment can help alleviate the patient's symptoms and prevent complications.
**Correct Answer:** Denture stomatitis (Option B)