Laser Assisted Removal Irritation Fibroma

This is the case of a 52 year old woman who was referred by her dentist for removal of a frictional fibroma which caused aesthetic concern to the patient since it was clearly visible when she spoke or opened her mouth and a functional concern because it disturbed her eating.

Irritation Fibroma Etiology

Irritation fibroma also known as traumatic fibroma, fibrous nodule or focal fibrous hyperplasia is the most common soft tissue exophytic lesion occurring in the oral cavity.  This is mainly caused by persistent irritation or trauma to the oral mucosa.  A persistent irritation/trauma could be a foreign body irritation, a habit of lip and cheek biting and/or mouth trauma.

Irritation fibroma can occur at any age but more likely seen in older patients. this lesion typically manifest itself as a raised, well-delimited, smooth, firm nodule. It is similar in colour to the surrounding tissues, but may be lighter or more translucent.  Irritation fibroma has low mitotic index and they usually do not exceed more then 3 cm in diameter. Nerves are not growing inside them. The recurrent is very low, providing the persistent trauma is eliminated. Irritation fibroma do no have malignant potential.