fibrous nodules called fibroepithelial polyps and epulides (4). Other hyperplastic reactive hyperplastic lesions include those associated with dentures, and papillomas. However, they are all similar in cause and nature, the overproduction of the cells of the mucosa, primarily the epithelial cells, also fibrous myxoid and low inflamed tissue due to irritation (1). 1. Fibroepithelial Polyps are usually pale, firm to touch, and painless but further irritation can cause abrasion and then ulceration or bleeding (1). They are sometimes be called fibroma, such as leaf fibroma, a fibroepithelial polyp often occurring under a denture and appears flattened. However, they are not true benign neoplasms (denoted by suffix ~oma), which are similar in appearance but very rare in the mouth (4). 2. Epulides. The most common epulides are: a) Fibrous Epulis. These are just fibroepithelial polyps located only on the gingivae (5). b) Pyogenic Granuloma and Pregnancy Epulis are both vascular rather than fibrous epulides with more dilated blood vessels making them appear darker pink/ red in colour, and soft (2). They may develop more fibrous as they mature. The Pregnancy variant only appears in pregnancy, usually due to plaque and should resolve with better oral hygiene and at the end of the pregnancy if not (1). Pyogenic Granuloma may occur elsewhere in the mouth such as the tongue and lips (3), but are not therefore epulides. c) Giant Cell Epulis also known as Peripheral Giant Cell Granuloma, are like Fibrous Epulis and occur at the anterior interdental margin, the gum between the teeth at the front (2). They are more common in women. They are often soft round and deep red to purplish blue (1). It is important they are investigated to make are they are not true giant cell granuloma (4). 3. Papilliary Hyperplasia of the palate (1,3), or Epulis Fissaratum/ Denture-induced Hyperplasia (2,5). The cause may be unknown (1) but there is an association with ill-fitting dentures resulting in irritation to the mucosa, usually by overextended flange, and with poor denture or oral hygiene (2,4). Oral thrush can be present but is not thought to be the cause (1) Idiopathic Recurrent Apthous Stomatitis- Recurrent ulceration found in the mouth with a wide variety of predisposing factors. However, the aetiology remains unclear. There are three forms of RAS: Minor, major, and herpetiform. RAS is usually found in non-smokers and those from high socioeconomic background. Neoplastic: ● Oral Submucous Fibrosis: This