Irritation fibroma of tongue: a case report

Vujhini, Sudhir Kumar; Reddy, E. Sridhar; Sudheer, M. V. S.; Katikaneni, Hari Krishna

doi:10.18203/2320-6012.ijrms20160823

Cited by 5 publications

(6 citation statements)

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“…Thus, the importance of histopathological testing cannot be overruled. Similarly, in the case reported by Vujhini et al, the authors could confirm the diagnosis upon the histopathological examination [11].…”

Section: Discussionsupporting

confidence: 61%

Diode laser in the excision of intraoral fibroma: A safe tool for minimally invasive dentistry

Sawai¹,

Sharma²,

Jafri³

et al. 2021

IJCR

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T he traumatic fibroma is a commonly seen intraoral overgrowth that occurs following tissue injury. Most common etiological factors include plaque, calculus, overhanging restorations, habits such as lip biting, and injury from the broken teeth [1,2]. They occur more frequently in the third and fourth decades with twice the frequency of occurrence in women as compared to men [1,3]. The most common site of occurrence is buccal mucosa along the plane of occlusion. Other sites include mandibular labial mucosa, gingiva, tongue, and palate [1,3]. Clinically, they appear as a sessile or pedunculated mass. The lesion may appear pale or similar to the surrounding mucosa. The outer surface may appear smooth and whitish due to hyperkeratosis or may be ulcerated due to repetitive trauma. The lesion is usually asymptomatic and does not have any risk of malignancy [4,5]. The recurrence rate is very low and it occurs due to incomplete elimination of the etiological factors [5].The conventional treatment modality includes surgical excision using scalpel blades, electrocautery, and cryosurgery. These methods, however, have many disadvantages such as excessive bleeding, need of suturing, scarring in the region of excision, postsurgical pain, swelling, and delayed wound healing [6,7]. To overcome these difficulties, the "Diode Laser" has emerged as a minimally invasive tool. Lasers have been used in dentistry since 1999 [8]. The diode laser is a solid-state semiconductor consisting of Gallium, Arsenide, Aluminium, and Indium. It has been found to be superior to conventional surgical methods in terms of ease of handling, pain control, less chairside time, and low cost. This case series highlights the benefits of using a diode laser as a minimally invasive tool for excision of intraoral fibromas. CASE SERIES Case 1A 21-year-old male patient reported to the department of periodontology with a chief complaint of growth on the left side of the tip of the tongue. The past medical and dental histories were not relevant. On examination, the patient's blood pressure was 120/90 mm Hg, pulse rate was 60/min, respiratory rate was 18/min, and the patient was afebrile with a temperature of 37.8°C. The solitary growth was seen approximately 4 months ago. It was initially small in size but had increased gradually to the present size (5 mm × 5 mm). The growth was firm, non-tender, and palepink with an intact surface and sessile base (Fig. 1a). The local lymph nodes were not palpable. Based on the clinical findings, a diagnosis of fibroma was made.

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Section: Discussionsupporting

confidence: 61%

Diode laser in the excision of intraoral fibroma: A safe tool for minimally invasive dentistry

Sawai¹,

Sharma²,

Jafri³

et al. 2021

IJCR

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“…Esta lesión en el caso clínico estudiado no tuvo riesgo de malignidad por ser el factor causal más común por trauma y que fue encontrado en la lengua, pero además se consigue encontrar en la mucosa bucal y la mucosa labial inferior 14 . Según estudio realizado por 15 , el fibroma clínicamente, aparecen como lesiones de base amplia, de color más claro que el tejido normal circundante, con la superficie a menudo aparece blanco por hiperqueratosis o con ulceración superficial causada por trauma secundario.…”

Section: Discussionunclassified

Fibroma Reactivo Lateral De Lengua: Presentación De Un Caso Clínico

Zambrano

Mendoza

Bazurto

2021

EOUG

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El fibroma traumático es considerado un crecimiento tumoral benigno que aparece en cualquier órgano, pero lo hace con mayor frecuencia en la cavidad oral. Se define como, una hiperplasia reactiva de tejido conectivo fibroso, siendo su factor etiológico el traumatismo o la irritación local. Se presenta generalmente asintomático, en sitios como, mucosa de revestimiento, bordes laterales de lengua y reborde alveolar de pacientes edéntulos. La lesión por lo general no se asocia con síntomas y se observa con mayor frecuencia en adultos, pero puede encontrarse en individuos de cualquier sexo y edad. Se reporta caso de un paciente del sexo masculino, 40 años de edad, que compareció al departamento de patología de la Universidad San Gregorio de Portoviejo, Ecuador, debido a una lesión en región lateral de lengua. El presente trabajo fue aprobado por el comité de ética de investigación de la Universidad y aplicado al paciente un formulario de consentimiento informado. En el examen clínico se observó una formación tumoral en la cara interna lateral de lengua con superficie mucosa que mide 1,1 x 0,8 cm de diámetro mayor, de superficie irregular. Considerando las características clínicas de la lesión, el estudio histopatológica confirmó la hipótesis diagnóstica Fibroma Reactivo.

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“…However, it can occur anywhere in the oral cavity including the labial mucosa and the tongue. 3,5 The treatment of choice for fibromas is surgical excision of the lesion, with rare recurrence reported so far. 6 Treatment alternatives include cryosurgery, which uses liquid nitrogen, and the strangulation technique.…”

Section: Introductionmentioning

confidence: 99%

Leaf-like Traumatic Fibroma in a Dentate Patient: An Unusual Case

Nascimento¹,

Pinheiro²,

Junior³

et al. 2021

CODS Journal of Dentistry

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The leaf-like traumatic fibroma (LTF) is a benign fibrous lesion of the connective tissue. Its clinical characteristics feature a flattened pedicle aspect, adapting well to the palate, resembling a leaf. Its color is usually pink, similar to the adjacent epithelium. The growth is slow. The lesion may be larger than 2 cm in diameter. It may be present in the oral cavity for a long time. The LTF is commonly associated with poorly adapted removable complete or partial prostheses which cause a flattening of the lesion against the palate. This report presents an unusual case of an LTF in a dentate patient who did not use any type of prosthesis. Instead, the lesion was related to an injury caused by food trauma, which is an unusual etiology for this type of lesion. We reported the mechanical pressure of the tongue and the action of negative intraoral pressure, as possible modifying agents in causing the characteristic shape of the lesion. Treatment consists of conservative surgical removal since its recurrence is rare.

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Irritation fibroma of tongue: a case report

Cited by 5 publications

References 0 publications

Diode laser in the excision of intraoral fibroma: A safe tool for minimally invasive dentistry

Diode laser in the excision of intraoral fibroma: A safe tool for minimally invasive dentistry

Fibroma Reactivo Lateral De Lengua: Presentación De Un Caso Clínico

Leaf-like Traumatic Fibroma in a Dentate Patient: An Unusual Case

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