If you have round or ovoid, firm, exophytic, smooth-surfaced masses that are the same color as, or slightly lighter than, the surrounding mucosa then it might be fibroma.

Which lesion is the most commonly encountered oral soft tissue lesions? 

Its Fibroma.

fibroma 2Fibroma of the anterior tongue tip secondary to bite
trauma. The lesion is well-defined and has a smooth, raised
surface in comparison to the adjacent tissue; it is firm and

What are the other terms for Fibroma?

Frequently used terms include irritation fibroma and traumatic fibroma, indicating the underlying reactive etiology.

What are the causes of Fibroma?

These are initiated by trauma, typically a bite injury (that the patient may not recall) or secondary to friction from the sharp edge of a tooth or dental restoration.

What is the Clinical presentation of Fibroma? 

It is clinically as round or ovoid, firm, exophytic, smooth-surfaced masses that are the same color as, or slightly lighter than, the surrounding mucosa.

fibroma 1Large fibroma of the right buccal mucosa. The surface
mucosa is thicker in appearance than the surrounding tissue.

What is the size of Fibroma? 

Lesions range in size from several millimeters to 1.0 cm in diameter.

What are the most commonly involved areas? 

As these are often caused by bite trauma, the most commonly involved areas are along the bite plane of the buccal mucosa and lateral tongue, although the lower labial mucosa and tongue dorsum
can also be affected.

Is there any specific risk factor associated with Fibroma? 

There are no specific risk factors other than a history of minor trauma.

What are the symptoms associated with Fibroma? 

These are generally asymptomatic.

What should be the treatment of Fibroma? 

Treatment is surgical excision, after which lesions rarely recur.

What are the Histopathological findings of Fibroma?

Dense collection of fibrous tissue with normal surface epithelium. Fibromas have no malignant potential; however, they should be excised and submitted for histopathological analysis if the clinical diagnosis is uncertain.


Diagnostic tests: None.
Biopsy: Only if the appearance is suspicious.
Treatment: None if asymptomatic; otherwise
complete surgical excision.
Follow-up: None.

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