Minimal invasive management of a large gingival fibroma: Report of a case

Abstract

Proliferative fibrous lesions of the oral mucosa and gingiva, known as fibromas, can lead to both functional and esthetic concerns. Although the size of an intraoral fibroma might vary from millimeters to a few centimeters, it is usually well defined. An irritation or traumatic fibroma is a benign, exophytic reactive oral lesion that occurs following trauma. Although it is rare, recurrences might occur if the same area experiences repeated trauma. These iatrogenic factors, that involve restorations and their overhanging margins, foreign materials and calculi, may result in trauma. Usually, it is characterized by gradual, painless expansion that develops up over several months or years. In this case report, the lower back tooth region showed signs of growth. The diode laser was used to completely remove the lesion. This example shows the need of a correct diagnosis, the importance of a biopsy, and a thorough histologic examination in the treatment of these lesions.