Keywords : Swelling
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.