Traumatic Fibroma Research Articles

Swelling on lower lip…not always a mucocele !!!

Schwannomas are well characterized uncommon neural neoplasms which may rarely present with variation in clinical manifestation. Oral Schwannomas clinically simulate other lesions like traumatic fibroma, pyogenic granuloma, mucocele and salivary gland lesions. The diagnosis of schwannoma is typically made at the time of surgery following biopsy and surgical resection is the mainstay of treatment with no chances of recurrence as they are well encapsulated. We present a case of schwannoma of lower lip occurring in a 21-year-old female patient.

Effectiveness of Er,Cr:YSGG Laser in the Excision of different Oral Soft Tissue Lesions

Er,Cr:YSGG laser, a hard tissue laser absorbed well by chromophore water apart from hydroxyl appetite crystals can be used in the excision of soft tissue lesions. Aims and objectives: To assess the effectiveness of Er, Cr: YSGG laser in the excision of four different soft tissue lesions and the objective was to assess pain during and after procedure, bleeding during procedure and wound healing after 1 week. Materials and methods: Four patients with different soft tissue lesions, such as peripheral ossifying fibroma, traumatic fibroma, intraoral lipoma and fibroma of the gingival. Er, Cr: YSGG laser with a wavelength of 2,780 nm (Waterlase, MD, Biolase, USA) with the settings of 1.50 W, air 30% and water 10%, MT, H mode, 25 Hz was used and pain assessed by behavioral pain rating scale, ‘faces’ pain rating scale and visual analog scale, bleeding and wound healing by visual method with photographs. Results: No discomfort to the patient during and after laser procedure, no local anesthesia needed, no suture, no antibiotics were prescribed. Minimal bleeding was dere. No edema and good wound healing was observed. Conclusion: Er, Cr: YSGG laser can be used as an alternative to conventional scalpel excision.

Localisation inhabituelle d’un pseudo-kyste salivaire : présentation de deux cas

The most common location of mucous extravasation cyst is the lower lip followed by buccal mucosa and ventral surface of the tongue. It very rarely occurs on the upper lip. A 17-year-old man consulted for a firm sub-mucosal nodule of the upper lip. The nodule was removed and the histological examination identified a pseudocyst characterized by a mucus pool without any epithelial lining, surrounded by granulation tissue. A similar observation was made in a 58-year-old woman who consulted for a recurrent translucent vesicle of the upper lip. There was no recurrence in either case. The clinical presentation of mucous extravasation cysts of the upper lip is similar to that of others lesions especially salivary gland or connective tissue tumors, or sometimes traumatic fibroma. Histological examination is mandatory to prove a definitive diagnosis and rule out a neoplasm requiring a more aggressive treatment.

Reactive hyperplasia of the oral cavity in Kerman province, Iran: A review of 172 cases

The purpose of this study was to present the clinical features of reactive hyperplasia among Iranian people. A series of 172 consecutive confirmed cases were studied using the database available at the Department of Oral Medicine, Kerman School of Dentistry. Reactive hyperplasia was classified into five groups: traumatic fibroma, peripheral fibroma with calcification, pyogenic granuloma, peripheral giant cell granuloma, and hyperplasia caused by dentures. Age, sex, site, clinical and radiographic findings, and outcome of treatment were recorded. Ages ranged from 5 to 79 years (mean 36). More women were affected than men (M/F 1:1.5). Pyogenic granuloma (M/F 1:2.2, χ 2 = 6.4, p = 0.011) and hyperplasia caused by dentures (M/F 1:3.7, χ 2 = 10.9, p = 0.001) were significantly more common among women. Peripheral giant cell granuloma was more common among men (M/F 1.4:1). Of the 172 cases, 111 (64%) involved the gingiva. Pyogenic granuloma more often affected the maxillary gingiva, while traumatic fibroma, peripheral fibroma with calcification, and peripheral giant cell granuloma, were more common in the mandibular gingiva. Twenty peripheral giant cell granulomas and 23 pyogenic granulomas had ulcers on the surface. A tendency to bleed was common among patients with pyogenic granuloma ( n = 31) and peripheral fibroma with calcification ( n = 12). We have confirmed that the clinical features of reactive hyperplasia among Iranians are, for the most part, similar to those reported by other investigators.