Oral Irritation Fibroma; Two Cases Report with Follow up and Literature Review

Received Date: August 09, 2026

Publication Date: August 24, 2026

Citation: Dilsiz A, et al. (2026). Oral Irritation Fibroma; Two Cases Report with Follow up and Literature Review. Dental. 8(2):25.

Copyright: Dilsiz A, et al. © (2026).

¹Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum/ TURKEY

²Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum/ TURKEY

³Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum/ TURKEY

⁴Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum/TURKEY

⁵Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum/ TURKEY

*Corresponding author: Alparslan DILSIZ, DDS, PhD. Professor, Department of Periodontology, Faculty of Dentistry, Atatürk University, 25240-Erzurum/ TURKEY, Fax: + 90 442 2361375 Tel: +90 533 4760078, E-mail: [email protected]; [email protected]; [email protected]

ABSTRACT

Aim: Irritation fibroma is a common benign reactive lesion of the oral mucosa that usually develops secondary to persistent mechanical irritation. Frequent etiological factors include chronic biting habits, foreign bodies, overhanging dental restorations, sharp tooth surfaces, and ill-fitting prostheses or other dental appliances. Habitual biting of the cheek, tongue, or lips represents a chronic, generally harmless form of self-inflicted trauma that may occur without the patient's awareness, often making the underlying cause difficult to identify during clinical examination.

The aim of the present study was to describe two cases of oral irritation fibroma and to present their clinical management together with the successful treatment outcomes.

Case Report: This case report presents the clinical characteristics, diagnostic evaluation, therapeutic management, and follow-up findings of two patients who presented with a gradually enlarging, painless lesion in the oral cavity. Both lesions were excised under local anesthesia, and the surgical specimens were submitted for histopathological analysis to establish the definitive diagnosis.

Results: The postoperative course was uneventful, with complete epithelialization achieved within 10 days. At subsequent follow-up examinations, both patients demonstrated satisfactory wound healing, and the surgical sites exhibited normal gingival architecture without any evidence of recurrence.

Conclusion: These cases emphasize the importance of comprehensive clinical evaluation, histopathological verification, and complete surgical excision in the successful management of irritation fibroma. Prompt diagnosis together with identification and elimination of the underlying etiological factors plays a key role in minimizing the risk of recurrence and achieving favorable clinical outcomes. Furthermore, patient adherence to treatment recommendations, appropriate psychological support when indicated, and regular dental follow-up visits may contribute to long-term disease control and maintenance of oral health.

Keywords: Irritation Fibroma, Traumatic Fibroma, Focal Fibrous Hyperplasia, Self-İnflicted, Biting, Chewing, Case Report