AN UNUSUAL PRESENTATION OF IRRITATION FIBROMA ASSOCIATED WITH MILD EPITHELIAL DYSPLASIA: A CASE REPORT

Dr. Sanjay Kumar, Dr. Rohit Panwar, Dr. Ritesh Kuma, *Dr. Kartikey Verma, Dr. Pallavi Patni Mishra, Dr. Manimugdha Brahma

ABSTRACT

Leukoplakia is the most common oral potentially malignant disorder, characterized by a predominantly white plaque that cannot be clinically or histopathologically classified as any other disease. It carries a variable risk of malignant transformation depending on its clinical and histopathological features. In contrast, irritation (traumatic) fibroma is a common benign reactive lesion of the oral soft tissues that develops secondary to chronic local irritation or trauma, such as plaque accumulation, calculus, sharp tooth edges, overhanging restorations, or ill-fitting prostheses. Although benign, these lesions may cause esthetic and functional impairment depending on their size and location. Irritation fibroma can occur at any age and may arise at virtually any oral soft-tissue site, including the buccal mucosa, tongue, lips, and gingiva. Among these sites, the buccal mucosa is the most frequently affected due to its susceptibility to repeated mechanical trauma. The present case report showed a 60 years old female patient with traumatic fibroma associated with dysplastic feature at right lateral border of tongue. After surgery post-operative healing was good without any recurrence.

Keywords: Epithelial dysplasia, Traumatic fibroma, Ulcer.