Abstract
Fibroma is a benign tumor of oral cavity, with usually the tongue, gingiva, and buccal mucosa being the most common sites. Females are twice more likely to develop fibroma than males. The intraoral fibroma typically is well demarcated; and its size can vary from millimeter to few centimeters. Intraorally the growth is attached to the mucosa by means of a peduncle. Fibroma is generally slow growing, painless, smooth surface lesion and the color is slightly paler than the adjacent healthy tissue. Treatment usually requires total excision and recurrence is rare. Here we present a case of 37-year-old female patient reported to the Department of Oral Medicine and Radiology with the chief complaint of a growth in the lower left posterior teeth region 3 months earlier.
Highlights
Intraoral localized reactive lesions occurring on the gingiva are common which include irritation/traumatic fibroma, peripheral ossifying fibroma, focal fibrous hyperplasia, pyogenic granuloma, inflammatory hyperplasia, and peripheral giant cell granuloma [1]
This paper reports the case of irritation fibroma of 37-year-old female associated with gingiva of lower left posterior teeth region
The differential diagnosis consisted of pyogenic granuloma, periapical giant cell granuloma, aggressive gingival fibromatoses, odontogenic myxoma, periapical odontogenic fibroma, and giant cell fibroma
Summary
Intraoral localized reactive lesions occurring on the gingiva are common which include irritation/traumatic fibroma, peripheral ossifying fibroma, focal fibrous hyperplasia, pyogenic granuloma, inflammatory hyperplasia, and peripheral giant cell granuloma [1]. Irritation fibroma is the most common response of submucosa secondary to trauma from teeth or dental prosthesis. First case of intraoral fibroma was reported in 1846 called fibrous polyp and polypus [2]. Fibroma of gingiva is clinically presented as slow growing, well-demarcated growth, usually with normal colored mucosa and smooth surface, sessile or pedunculated base, and hard consistency [3], causing difficulty in mastication and speech. Irritation fibroma is most commonly prevalent in anterior region and usually associated with interdental papilla. Cases in the posterior teeth region are rare in the literature. This paper reports the case of irritation fibroma of 37-year-old female associated with gingiva of lower left posterior teeth region
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