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

Abstract

An oral fibroma is a benign scar-like reaction frequently resulting from chronic mouth irritation. It is also called an oral polyp, fibrous nodule, localised intraoral fibrous hyperplasia, and traumatic fibroma. Chronic irritation from things like biting one's lips or cheek, orthodontic treatments, rubbing against a hard tooth, or wearing dentures or other dental prostheses is frequently the cause. It is often the same colour as the surrounding mouth lining, but occasionally, it can be paler or appear darker if it has bled. Trauma can cause the surface to become rough and scaly or ulcerated. It is primarily dome-shaped and similar to a pedunculated polyp. A traumatic fibroma most frequently occurs on the inside of the cheek. The inside of the lower lip, the gingiva, and the sides of the tongue are other frequent locations. The given case series reported traumatic fibroma associated with anterior teeth and buccal mucosa treated with a conventional scalpel and diode laser techniques, respectively. Diagnosing and treating the aetiology and educating the patient about the same is essential in fibroma cases. The clinical features of both claims and mere aetiology confirmed the diagnosis. The sole option available when therapy is needed is a surgical fibroma excision. Surgical excision is the most popular method for treating oral or traumatic fibromas. Two ways are available for the surgical removal of an oral fibroma: with a scalpel or using a diode laser. Both case presentations demonstrate that surgical excision with a scalpel and diode laser was discovered to be a simple, efficient, and affordable method for treating traumatic fibroma in this report, which presents two traumatic fibromas with different locations with varying aetiology. Traumatic fibromas reported here were in the aesthetic zones, which need to be treated as they can cause traumatic occlusion and difficulty chewing and speech. The patients reviewed for the next three months revealed complete satisfactory healing and no recurrence in both cases.

Irritational Fibroma Mimicking an Odontogenic Infection: A Case Report of a Misdiagnosed Extraoral Fibroma

“…The diagnosis is confirmed through clinical features and trigger analysis. Surgical excision is the main treatment option for oral or traumatic fibromas and is widely used [ 1 ]. Christopoulos et al presented a similar case of a 44-year-old Caucasian woman who underwent an examination for growth on the right side of her upper jaw that had been noticed 18 months earlier.…”

“…Trauma may cause the surface to roughen, scale, or develop ulcers. Usually dome-shaped, it resembles a pedunculated polyp, with traumatic fibroma mostly found in the buccal mucosa, gingiva, tongue, and lower lips [ 1 , 2 ]. Fibrous connective tissue benign tumors are often found in the oral cavity, with most being inflammatory rather than neoplastic.…”