CODS Journal of Dentistry

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VOLUME 12 , ISSUE 2 ( July-December, 2020 ) > List of Articles

CASE REPORT

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

Luiz HA Nascimento, Tiago N Pinheiro, Joel M Junior, Gustavo C Albuquerque, Marcelo V de Oliveira, Valber B Martins

Keywords : Leaf-like fibroma, Palate, Wounds and injuries

Citation Information : Nascimento LH, Pinheiro TN, Junior JM, Albuquerque GC, de Oliveira MV, Martins VB. Leaf-like Traumatic Fibroma in a Dentate Patient: An Unusual Case. CODS J Dent 2020; 12 (2):45-47.

DOI: 10.5005/jp-journals-10063-0057

License: CC BY-NC 4.0

Published Online: 16-04-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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  1. Bagde H, Waghmare A, Savitha B, et al. Irritation fibroma: a case report. Int J Dent Clinics 2013;5:39–40.
  2. Santos TS, Martins-Filho PRS, Pica MR, et al. Focal fibrous hyperplasia: a review of 193 cases. J Oral Maxillofac Pathol 2014;18(4):86–89. DOI: 10.4103/0973-029X.141328.
  3. Mirtazapine H, Safi Y, Baharvand M, et al. Hindawi international journal of dentistry. Periphe Exophy Oral Lesi: Clin Decis Tree 2017;2017:1–19.
  4. Kuriakose MA, Chakrabarti S, Cheong SC, et al. And neck tumors. Contempor Oral Med 2018. 25–27.
  5. Vujhini SK, Reddy ES, Sudheer MVS, et al. Irritation fibroma of tongue: a case report. Int J Res Med Sci 2016;4:1272–1273. DOI: 10.18203/2320-6012.ijrms20160823.
  6. Sreeia C, Vezhavendan N, Shabana E, et al. Recurrent peripheral odontogenic fibroma associated with basal cell budding. J Pharm Bioallied Sci 2014;6(5):204–207. DOI: 10.4103/0975-7406. 137470.
  7. Correa PE, Arias Mendieta S. Resección de fibroma en mucosa oral. Tecnica del estrangulamiento. Rev CES Odontol 2016;29(1):82–87. DOI: 10.21615/cesodon.29.1.8.
  8. Borras MT, Delgado-Molina E, Berini-Aytés L, et al. Exeresis de las lesiones hiperplásicas de la cavidad bucal. Estudio retrospectivo de 128 casos. Med Oral Patol Oral Cir Buca 2005;10:151–162.
  9. Esmeili T, Lozada-Nur F, Epstein J. Common benign oral soft tissue masses. Dent Clin North Am 2005;49(1):23–40. DOI: 10.1016/j.cden.2004.07.001.
  10. Braga MM, Carvalho ALG, Vasconcelos MCP, et al. Giant cell fibroma: a case report. J Clin Pediatr Dent 2006;30(3):261–264. DOI: 10.17796/jcpd.30.3.j784203n931w3x6j.
  11. Veena K, Jagadishchandra H, Sequria J, et al. An extensive denture-induced hyperplasia of maxilla. Ann Med Health Sci Res 2013;3(5):7–9. DOI: 10.4103/2141-9248.121208.
  12. Canger EM, Celenk P, Kayipmaz S. Denture-related hyperplasia: a clinical study of a Turkish population group. Braz Dent J 2009;20(3):243–248. DOI: 10.1590/S0103-64402009000300013.
  13. Carvalho FK, Pinheiro TN, Arid J, et al. Trauma-induced giant pyogenic granuloma in the upper lip. J Dent Child 2015;82:168–170.
  14. Rossmann JA. Reactive lesions of the gingiva: diagnosis and treatment options. Open Pathol J 2011;5(1):23–32. DOI: 10.2174/1874375701105010023.
  15. Villavicencio VF, Luengo FJ, Hernçndez MM, et al. Fibroma de células gigantes en lactante mayor. Reporte de un caso. Int J Odontostomat 2018;12(2):93–96. DOI: 10.4067/S0718-381X2018000200093.
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