Oral Fibroepithelial Hyperplasia: Clinical Presentation and Management in a Rare Case

Abstract: - Fibromas represent the most prevalent type of fibrous overgrowths found in the oral cavity, usually arising as a result of prolonged, mild irritation. Management includes meticulous plaque control, removal of underlying causative factors, and conservative surgical removal to minimize the risk of recurrence. Hence, it is crucial for clinicians to possess a comprehensive knowledge of these lesions to effectively distinguish them from other lesions with similar clinical appearances. In this case report, a 60-year-old female patient presented with a gingival overgrowth on the left anterior maxilla, persisting for the past three months. The presence of ossifications within fibroepithelial hyperplasia in this age group is a rare and unusual finding, as noted in previous case reports. The lesion was surgically excised using electrocautery, and postoperative healing was uneventful within one week. Histopathological differential diagnoses of fibroepithelial hyperplasia include pyogenic granuloma, peripheral giant cell granuloma, and irritational fibroma. Electrocautery, a precise and efficient surgical modality, was utilized in this case for effective lesion removal with minimal tissue trauma and is preferred for its ability to minimize bleeding, reduce infection risk, and promote faster healing.