Online ISSN: 2515-8260

Keywords : Traumatic Fibroma

Management of Traumatic Fibroma in the Esthetic Zone: A Case Report.

Dr. Vandana Daga, Dr. Deepa G. Kamath

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3137-3142

Background: Traumatic/Irritational fibroma is an inflammatory hyperplastic reaction of the
soft tissues to traumatic factors such as nail-biting, ill-fitting dentures, over-hanging
restorations etc., and may present with esthetic, functional and psychological concerns.
Case description: A 28 year old male patient presented with a soft tissue overgrowth in relation
to his mandibular anterior teeth (labial gingiva). The lesion was localized, well-circumscribed,
firm in consistency with a smooth surface and painless. However, it was a major concern for
the patient both esthetically and psychologically. Thus, the lesion was excised using the scalpel
method and sent for histopathological assessment.
Conclusion: Traumatic fibroma are very common benign, intraoral, soft tissue lesions which
arise due to chronic trauma/irritation. A detailed history taking and histopathological
assessment is paramount in deducing the correct diagnosis and treatment plan.
Clinical Significance: Proper diagnosis and treatment in the form of excision of these soft
tissue lesions are pivotal to ensure the patient’s functional, esthetic and psychological

Traumatic Fibroma: A Case Report

Dr. Ruchika Vasant Lulla; Dr. Priyanka Jaiswal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1653-1660

Background: Irritational / traumatic fibroma is a reactive lesion that represents most common oral lesions of the soft-tissue, caused by local traumas or plaque-induced inflammation, calculus, overhanging margins and restorations, which may lead to esthetic and functional problems. It can occur at any age group from almost any soft‑tissue site, buccal mucosa tongue, gingiva. However, the buccal mucosa is more commonly involved.
Case presentation: The article presents the case of a 30-year-old female patient with an intraoral swelling at the right side of the cheek mucosa since 4 months. On examining the lesion clinically, it was found to be a well circumscribed, smooth, slightly tender, firm and lobulated pink swelling measuring approx. 3 cm × 3 cm in its greatest diameter in relation to right cheek mucosa near mandibular premolar region. The swelling was associated with traumatic occlusion. The cause of the trauma as well as management of the lesion along with clinico-histological diagnosis is addressed. Complete surgical excision of the lesion was planned. Laser was used for excision of the lesion and the excised lesion as it is comparatively less invasive, easy, the relatively simple and safe method with easy handling of the tissues without any bleeding or scarring. The excised lesion was then sent to histopathology for diagnosis. The case was diagnosed as irritational fibroma after the clinical findings and histological evaluations.
Conclusion: Proper evaluation of the case with careful clinical and histological diagnosis is essential for the management of irritational fibroma. Lasers provide a non-invasive and effective treatment modality for the management of the such lesions.