上颌前缘外伤性牙龈纤维瘤1例

Revati Niteen Deshpande, Harshad Bhagwat, A. Vadane
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摘要

外伤性纤维瘤,也称为刺激性纤维瘤,是一种常见的口腔病变,外观为良性和外生性。它是组织损伤的结果,可以发生在任何年龄。它是炎性增生性病变愈合后的终产物。最常见的部位是颊粘膜,任何软组织部位,舌头,牙龈。女性偏好。它是最常见的反应性病变,治疗的选择是手术切除。本病例报告的目的是报告一名33岁女性患者的良性病变,她以右上门牙区域疼痛和肿胀为主诉,自12-15天以来,检查发现病变范围清楚,分叶状,柔软,光滑,坚固,红粉红色肿胀,大小为2厘米× 3厘米,涉及右上上颌前磨牙。手术切除病变。术后1个月无复发。影像学和组织病理学检查对于准确诊断至关重要,因为它在临床上类似于周围巨细胞肉芽肿、化脓性肉芽肿或牙源性肿瘤等各种病变。
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Traumatic gingival fibroma of anterior maxilla: A case report
Traumatic fibroma, also called irritation fibroma is a common oral lesion which is benign and exophytic in appearance. It develops as result of tissue injury and can occur at any age. It is the healed end product of the inflammatory hyperplastic lesion. Sites most commonly involved are buccal mucosa, any soft tissue site, tongue, gingiva. Female predilection seen. It is the most common reactive lesion, and the treatment of choice is surgical excision. The aim of this case report is to present a benign lesion in a 33 years old female patient, who reported to the department with a complaint of pain and swelling in the right upper front tooth region since 12-15 days and on examination, the lesion appeared well circumscribed, lobulated, tender, smooth, firm and reddish pink swelling measuring 2 cm × 3 cm involving right maxillary premolars. Surgical excision of the lesion was done. No recurrence was noted 1 month postoperatively. Radiographic and histopathological examination is essential for diagnosis to accurate as it clinically resembles various lesions such as peripheral giant cell granuloma, pyogenic granuloma or odontogenic tumors.
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