Successful management of recurrent irritational fibroma and associated residual soft tissue defect in the posterior teeth through single-stage surgery: A rare case report

Abstract

Inflammatory fibrous hyperplasia, pyogenic granuloma, peripheral ossifying fibroma, irritational fibroma (IF), peripheral giant cell granuloma, etc., are the different types of reactive gingival lesions that may occur in response to mild chronic irritation associated with subgingival factors, root remnant, iatrogenic factors, and trauma. Gingival IF is one of the most common reactive lesions and is usually sessile in nature, and its size is usually not more than 1.5 cm. Complete surgical excision along with the elimination of precipitating/aggravating factors is the treatment of choice generally adopted by a general dentist without giving due consideration to its size, location, and postoperative sequel. The present rare case describes the simple, easy to perform, and effective periodontal plastic treatment for the management of expected residual soft tissue defect, following surgical excision of large recurrent IF in the posterior maxillary teeth at 9 months postoperatively, in addition to its conceivable etiology and diagnosis.

Identification, Cause and Surgical Management of Traumatic Fibroma in the Jugal Mucosa: A Case Report

“…These traumatic fibrous lesions are consistent with a sessile or pedunculated base, presenting with a smooth, painless, or in some cases, ulcerated surface with symptomatic swelling [3,6]. In clinical practice, when it comes to detecting oral hyperplastic reactions, these pathologies resulting from trauma continue to be one of the main benign reactive disorders with a common character [2].…”

“…Fibrous hyperplasias are benign, exophytic tumors of non-infectious origin characterized by proliferation of soft tissue [1]. These lesions have a reactive character, and their development occurs secondary to exposure to harmful habits or continuous chronic irritation [2]. Notable mechanisms of irritation that may give rise to fibrous hyperplasia include injury of the buccal mucosa secondary to biting, prosthetic maladjustments, diastemas, restorations or fractured teeth and trauma caused by orthodontic appliances.…”

“…Notable mechanisms of irritation that may give rise to fibrous hyperplasia include injury of the buccal mucosa secondary to biting, prosthetic maladjustments, diastemas, restorations or fractured teeth and trauma caused by orthodontic appliances. 3 In addition, psychological disorders such as stress, anxiety and irritability can also favor the development of the lesion [1,2,3].…”

Conventional Scalpel and Diode Laser Approach for the Management of Traumatic Fibroma

“…Oral fibromas grow over weeks or months to reach their maximum size, typically 1 cm in diameter, but vary from case to case. A diagnosis may be suspected if a patient presents with typical symptoms of oral fibroma during a medical examination [7]. The lesion used to be slightly red and firm sometimes.…”