Gingival Fibroma: An Emerging Distinct Gingival Lesion with Well-Defined Histopathology

Bawazir, Maram; Islam, Mohammed N.; Cohen, Donald M.; Fitzpatrick, Sarah; Bhattacharyya, Indraneel

doi:10.1007/s12105-021-01315-7

Cited by 7 publications

(2 citation statements)

References 16 publications

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“…A radiograph shows no bone involvement. Supragingival scaling in phase I therapy, followed by a week-long chlorhexidine mouthwash prescription and surgical removal or excision with a scalpel or diode laser, is being carried out [8]. There is a wide range of differential diagnoses for every lesion on the oral mucosa.…”

Section: Discussionmentioning

confidence: 99%

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

Diwan,

Shirbhate,

Bajaj

et al. 2023

Cureus

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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.

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Section: Discussionmentioning

confidence: 99%

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

Diwan,

Shirbhate,

Bajaj

et al. 2023

Cureus

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“…It is considered the gingival counterpart of the central ossifying fibroma, a fibro-osseous lesion presenting as a radiolucent area with radiopaque spots, frequently associated with vital teeth [2]. POF is an uncommon occurrence and is mainly located in the anterior maxilla of young patients between the 2nd and 3rd decades [3]. Clinically, it is generally described as a well-circumscribed gingival lesion with slow and progressive growth, rarely associated with pain, tooth displacement, ulcerations, and usually lacking 2 radiographic alterations.…”

Section: Introductionmentioning

confidence: 99%

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

Forte,

Barile,

D'Amati

et al. 2024

Preprint

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Background: Peripheral Ossifying Fibroma (POF) is a benign gingival tumor generally presenting as a slow-growing mass, usually not ulcerated, and without bleeding. Histopathological exam shows fibrous connective tissue with spots or extensive areas of intralesional calcifications, which can also be detectable on radiograms. Methods and case presentation: We present the case of a 4-year-old male with a retro-incisive swelling of the hard palate, associated with speaking and feeding difficulties. On CT scans, a small intralesional calcification was detected. After conscious sedation, the patient was subjected to diode laser excision (910 nm, 2W, CW, 300 m fiber) with-out post-operative complications. A review was conducted by searching the words “peripheral ossifying fibroma” AND “children” OR “infant” and including manuscripts of the last 15 years. Results: POF is an uncommon lesion of the oral mucosa and may sporadically affect the palatal mucosa in children. Considering its epidemiology and conventional clinical presentation as epu-lis, the pre-operative diagnosis may be relatively difficult. Risk factors could be represented by plaque, calculus, or trauma, all supporting a possible reactive pathogenesis, but a certain etiology is still missing. The main problem of POF is the recurrence rate, which is particularly high (8-20%), thus suggesting that a deep excision is recommended with full extension to the hard tis-sue of bone and to the adjacent periodontal ligament. Diode laser surgery may be recommended for such treatments, especially in pediatric patients, associated with intraoperative conscious se-dation. Data emerging from the relevant literature on POF management in children have been collected and discussed. Conclusions: The authors suggest the use of diode laser for the complete excision of POF, especially in less-compliant patients as children, with a low grade of comorbidi-ties and good outcomes, giving the surgeon a viable alternative to conventional surgery.

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Benign Tumors

Laskaris

2023

Periodontal Manifestations of Local and Systemic Diseases

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Gingival Fibroma: An Emerging Distinct Gingival Lesion with Well-Defined Histopathology

Cited by 7 publications

References 16 publications

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

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

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

Benign Tumors

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