Mucosa

Oral Fibroma

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Oral Fibroma, Traumatic Oral Fibroma

  • See Also
  1. Oral Mucosa Disorder
  2. Tongue Lesion
  3. Oral Papilloma
  • Epidemiology
  1. Most common oral Soft Tissue Growth
  2. Incidence: 1.2% in adults
  • Pathophysiology
  1. Hyperplastic fibrous lesion
  2. Forms in response to local irritation or Trauma to the Oral Mucosa or Tongue
    1. Chronic development of granulation tissue and scar
  • Causes
  1. Broken teeth
  2. Tongue biting
  3. Poorly fitting dentures
  • Symptoms
  1. Typically asymptomatic
  • 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 with broad base
    4. Typically smaller than 1 cm
  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
  • 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
  • References
  1. Randall (2022) Am Fam Physician 105(4): 369-76 [PubMed]
  2. Straub (2024) Am Fam Physician 110(5): 467-75 [PubMed]