Management of an Oral Fibroma by Scalpel Excision in a Patient on Anticoagulant Therapy: A Case Report

Abstract

A traumatic or irritational fibroma is the most prevalent submucosal reactive lesion in the oral cavity. It forms as a result of irritation or trauma and is composed of fibrous or connective tissue. Although electrical or laser surgery is beneficial for the excision of oral fibroma in patients taking anticoagulant, but these devices may not be available in all clinical settings. This case report aims to demonstrate scalpel excision as an effective and convenient surgical treatment for the management of the fibroma in patient having anticoagulant drug instead of using electrical, laser, or cryosurgery. A female patient, 70 years old, reported to the department with a chief complaint of painless swelling in the right lower posterior tooth region for the past 2 years. On examination, the lesion was found to be a well circumscribed, smooth, tender, firm, and lobulated pink swelling 1x0.8x0.5 cm in diameter positioned on the buccal mucosa of the right molar region. Surgical therapy was carried out by scalpel excision, followed by medication for the management. In compared to electrical, laser, and cryosurgery, scalpel excision was a simple and effective approach to successfully remove the fibroma, and complete healing of the surgical site was observed after 2 months.