Oral Fibroma

Aka: Oral Fibroma, Traumatic Oral Fibroma

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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

VII. References

  1. Randall (2022) Am Fam Physician 105(4): 369-76 [PubMed]

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