II. Epidemiology

  1. Most common oral soft tissue growth
  2. Incidence: 1.2% in adults

III. Pathophysiology

  1. Hyperplastic fibrous lesion
  2. Forms in response to local irritation or Trauma

IV. Symptoms

  1. Asymptomatic

V. Signs

  1. Appearance
    1. Firm, broad-based, smooth-surfaced pink Papules or Nodules
    2. Surface color is similar to surrounding mucosa
    3. May be pendunculated
  2. Distribution
    1. Occlusal line on Buccal mucosa most common
    2. Also occurs on Tongue, Labial mucosa, Gingiva
  3. Course
    1. May heal as a dense, collagenous lesion
    2. With repeat Trauma, lesion may ulcerate or become hyperkeratotic

VI. Management

  1. Surgical excision
    1. Recurrence is rare following excision
  2. Send for pathology to evaluate for neoplastic lesions in differential diagnosis
    1. However, Traumatic fibromas have no increased risk of malignant transformation

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Ontology: Oral fibroma (C0948118)

Concepts Neoplastic Process (T191)
Italian Fibroma della bocca
Japanese 口腔線維腫, コウクウセンイシュ, コウコウセンイシュ
Czech Fibrom dutiny ústní
English oral fibroma, fibroma oral, Oral fibroma
Hungarian Oralis fibroma
Portuguese Fibroma oral
Spanish Fibroma oral
Dutch oraalfibroom
French Fibrome de la cavité buccale
German Mundfibrom