This case report describes an irritation fibroma in a 40-year-old female patient. The lesion was located on the gingiva between teeth 12-14 and measured 3.5 x 2.5 cm. An excisional biopsy was performed and microscopic examination revealed features consistent with an irritation fibroma, including stratified squamous epithelium and fibrous connective tissue. Irritation fibromas are non-cancerous growths that typically develop in response to local irritants like dental plaque or appliances. Complete surgical removal is usually curative.
This case report describes an irritation fibroma in a 40-year-old female patient. The lesion was located on the gingiva between teeth 12-14 and measured 3.5 x 2.5 cm. An excisional biopsy was performed and microscopic examination revealed features consistent with an irritation fibroma, including stratified squamous epithelium and fibrous connective tissue. Irritation fibromas are non-cancerous growths that typically develop in response to local irritants like dental plaque or appliances. Complete surgical removal is usually curative.
This case report describes an irritation fibroma in a 40-year-old female patient. The lesion was located on the gingiva between teeth 12-14 and measured 3.5 x 2.5 cm. An excisional biopsy was performed and microscopic examination revealed features consistent with an irritation fibroma, including stratified squamous epithelium and fibrous connective tissue. Irritation fibromas are non-cancerous growths that typically develop in response to local irritants like dental plaque or appliances. Complete surgical removal is usually curative.
This case report describes an irritation fibroma in a 40-year-old female patient. The lesion was located on the gingiva between teeth 12-14 and measured 3.5 x 2.5 cm. An excisional biopsy was performed and microscopic examination revealed features consistent with an irritation fibroma, including stratified squamous epithelium and fibrous connective tissue. Irritation fibromas are non-cancerous growths that typically develop in response to local irritants like dental plaque or appliances. Complete surgical removal is usually curative.
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Irritational Fibroma – A Case Report Dr. Ashwani Kumar1, Dr. Anupam Nagpal 2, Dr. Bhuvan Nagpal 3 PG Student1, Consultant & Head2, Consultant3 , Department of Oral Pathology1,3, Department of Dental Surgery2, Rajasthan Dental College, Jaipur, Rajasthan
Abstract Chronic irritational factors like plaque, calculus, overhanging margins, trauma and dental appliances are the major causes for reactive hyperplastic growths seen in the oral cavity. This paper reports a case of irritation fibroma in a 40-year-old female in relation to gingiva of 12, 13, 14 region. Excisional biopsy was done and diagnosis of irritational fibroma was rendered on the basis of histopathological evaluation. Keywords: Irritation fibroma, buccal mucosa, reactive fibrous hyperplasia How to cite this Article: Kumar A, Nagpal A, Nagpal B. Irritational Fibroma – A Case Report.HTAJOCD.2018
Introduction more often it occurs in incisor cuspid region, 9. Bagde H. Peripheral Cemento Ossifying Fibroma–Case Report. Int J Dent Case Reports. 2012;2(5):15-8.
O vergrowths which are frequently
observed in the oral cavities are usually benign. Various kinds of reactive lesions may occur on gingival mucosa. The etiology for these lesions may be irritants ranging between 55-62% as found in the present case. The lesion was present in relation to 12,13,14 teeth region. As per recent past literature, very few cases lesions of 6 cm and 9 cm are reported. The surface of lesion may be 10. Walters JD, Will JK, Hatfield RD, Cacchillo DA, Raabe DA. Excision and repair of the peripheral ossifying fibroma: a report of 3 cases. Journal of periodontology. 2001;72(7):939-44.
like plaque, calculus, overhanging margins and ulcerated in 66% of cases and intact in 34% of restorations. Irritational fibroma represents a cases. In our case, dimensions of lesion were 3.5 reactive focal fibrous hyperplasia due to trauma cm x 2.5 cm. The lesion represents a range of or local irritation. In the present paper, a case of stages of fibroma with ossification. Bone irritation fibroma in a 40-year-old female in formation or dystrophic calcification may be maxillary anterior region has been presented. seen with foci of radiopaque material, especially Case Report in large lesions. Fibroma can produce A 40-year-old female patient came with interdental destruction of bone with migration of chief complaint of persistent swelling of gingiva teeth. Histopathological features of irritational in maxillary anterior region from past two years. fibroma are stratified squamous epithelium Her medical, dental and family history was non- which can be intact or ulcerated along with contributory. The lesion was gradually atrophy. Treatment of irritational fibroma increased in size with no history of bleeding and include scaling, root planing and surgical pain. Intra-oral clinical examination revealed a excision of lesion with totally removal of the well defined sessile and firm growth in relation lesion with healthy margins including Fig. 1: Intra-oral clinical examination revealed a well to buccal aspect of gingiva of 12, 13,14 region, periodontal ligament and periosteum to defined sessile and firm swelling in relation to buccal aspect of gingiva of 12,13,14 region measuring approximately 3.5 x 2.5 cm in minimize recurrence of lesion. Any other local diameter, extending from distal surface of 12 to irritants like an ill-fitting denture or dental mesial surface of 14, lower border of the lesion appliance and high restoration present in any extends up to the middle third level of 12, 13 and tooth should be removed. Long-term follow-up upper border extends up to the vestibule. (Figure is very important as these types of lesion have 1). On basis of clinical symptoms; provisional high growth potential due to incomplete diagnosis of irritational fibroma was given. removal. Differential diagnosis included chronic fibrous Conclusion hyperplasia, pyogenic granuloma, peripheral Irritational fibroma clinically resembles ossifyinf fibroma and peripheral giant cell with various lesions such as and peripheral giant granuloma. Under local anesthesia, excisional cell granuloma, pyogenic granuloma so proper biopsy was performed (Figure 2) and sent for histopathologic investigation and radiographic histopathological examination. Histopatho- evaluation are necessary for exact and final Fig. 2: Excision of the logical features of the excised specimen showed diagnosis. swelling was done under local anaesthesia epithelium and connective tissue. Epithelium is References parakeratinized stratified squamous with thin 1. Al-Rawi NH. Localized reactive hyperplastic lesions of the gingiva: a clinico-pathological study of 636 lesions in rete ridges. The subepithelial stroma was Iraq. Internet Journal of Dental Science. 2009;7(1). composed of fibrous connective tissue which 2. Kolte AP, Kolte RA, Shrirao TS. Focal fibrous showed chronic inflammatory infiltrate and few overgrowths: A case series and review of literature. blood vessels. (Figure 3). Thus, irritational Contemporary clinical dentistry. 2010;1(4):271. 3. Mathur LK, Bhalodi AP, Manohar B, Bhatia A, Rai N, fibroma was given as final diagnosis for lesion. Mathur A. Focal fibrous hyperplasia: a case report. Discussion International Journal of Dental Clinics. 2010;2(4). Irritational fibromas are also known as focal 4. Nartey NO, Mosadomr HA, Al-Cailani M, Al-Mobeerik A. Localized inflammatory hyperplasia of the oral fibrous hyperplasia or fibromatosis fibroma. It cavity: clinico-pathological study of 164 cases. Saudi occurs usually more in females than in male Dent J. 1994;6(3):145-50. patients in third and fourth decade of their life. 5. Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral The present case is representing a 40-year-old pyogenic granuloma: a review. Journal of oral science.2006;48(4):167-75. female patient with the problem of focal fibrous 6. Baldawa R, Saluja H, Kasat V, Kalburge J, Baheti S. An Fig. 3: Histopathological features of the hyperplasia. The high tendency of the problem ususually large oral pregnancy tumor. Pravara Medical excised specimen showed epithelium and connective and peak occurrence in female in the first and Review. 2011;3(4):23-6. tissue (A & B). Epithelium is parakeratinized stratified 7. Macleod R, Soames J. Epulides: a clinicopathological squamous with thin rete ridges (B). The subepithelial stroma second decade and declining incidence after the study of a series of 200 consecutive lesions. British was composed of fibrous connective tissue which showed third decade of life indicated hormonal dental journal. 1987;163(2):51-3. chronic inflammatory infiltrate and few blood vessels (A,B,C,D influences. The irritational fibromas are found 8. Das U, Azher U. Peripheral ossifying fibroma. Journal of more frequently in maxilla than mandible and Indian Society of Pedodontics and Preventive Dentistry. 2009;27(1):49.
