Causes and risk factors
Chronic irritation is the main causative factor for fibroma. Certain factors which trigger the condition are oral dentures and rubbing the oral mucosa or teeth with hard brush. Cheek or lip biting also leads to the same.
Clinical presentation:
There are different types of oral fibroma. A few among them are elastofibroma, sclerotic type, giant cell fibroma, epulis fissuratum, retrocuspid, myofibroma, peripheral ossifying fibroma, peripheral odontogenic fibroma.
The growth can be seen at any site of the oral mucosa; however, the buccal mucosa is more commonly affected. The other sites which can be affected are gums, inner aspect of lower lips, and tongue. Most of the times the lesions are single. A lump having a smooth surface and round and oval or dome like in shape ranging from 1-2 mm in diameter is seen. It is a firm mass having the same color as that of the surrounding skin or it may have a pale appearance. In some cases, it may have a short stalk like a polyp. Besides general discomfort and irritation, they do not cause any other complaint.
Investigations:
Diagnosis is done on the basis of the symptoms narrated by the patient along with clinical examination carried out by the doctor. History along with examination usually helps in confirming the diagnosis. Biopsy will help to exclude other conditions. Histological examination helps in confirming the diagnosis.
Treatment:
Eliminating the source of irritation is of utmost importance. The conservative mode is usually not so helpful; hence surgical removal of the nodule is needed.
When to contact a doctor:
Contact a doctor if one notices any growth in the oral mucosa.
System involved: Integumentary system
Organ involved: Skin and tissues.
