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Fibroma
• Hyperplasia reaction of fibrous connective tissue to
local irritation or trauma
• A soft tissue mesenchymal benign lesion
• Incidence 12 per 1000 population
• Often occurs at the age of 20-30 years
• Comparison of women and men = 2: 1
• The size of this tumor is usually small, only 1
to 4 cm long, oval and symmetrical.
• Can enlarge over time
• Has limited growth and the size of the lesion
will decrease after the irritation or trauma
causes are removed.
Etiologi
• Internal Factors • Eksternal Factors
• Genetic • Long exposure to X-ray
• Low immunity and radionuclear rays
• Use of chemicals such as
arsenic, beryllium,
cadmium, mercury,
plumbum, and various
other heavy metals
• The presence of extensive
and long-standing
scarring. For example
scarring due to burns
Classification
1. Inflammatory fibrous hyperplasia (irritation
fibroma)
– most often in children
– often on the lips, buccal mucosa, tongue and
palate
– smooth surfaces are sometimes granular
2. Peripheral ossifying fibroma
– often on the gums, anterior molar region, and
interdental papillae
– smooth surface sometimes ulcerates
3. Neurofibroma
– autosomal dominan
– often on the tongue, gums, buccal and palate
mucosa
– nodule shaped
All of them aree asymptomatic, have clear
boundaries, are solid, color is the same as the
surrounding mucosa and develop slowly.
Diagnosis
• Lumps are pink
• Nodules with clear boundaries and often
pedunculated (sessile) or sessile (attached to the
mucosa and unable to move freely)
• Rarely with a diameter of more than 2 cm
• In some cases it can be white due to hyperkeratosis
from persistent irritation
• Commonly found, fibromas appear to be slightly
reddish in color and there is even ulceration if they
are still traumatized
• Cause pain
Treatment
Perawatan :
• Excision surgery on 1 mm of tissue around the lesion.
The shape of the excision is an ellipse (recurrence is
rare when the etiology is removed)
• For neurofibromas: there is no need for surgery if
there are no disturbing symptoms, but follow-up is
needed because 10% are at risk of becoming
malignant
Treatment
Pre-operation:
1. Check blood pressure, temperature, pulse
2. Psychological preparation for children and parents
Post-operation:
Give antibiotics, anti-inflammatory and analgesic drugs
Amoxicillin tab 250 mg no XV
S 3 dd I
Ibuprofen tab 200 mg no XII
S 3 dd 1,5
• Instruct patients to:
• Look at the operating area, if the gingiva that has been cut
starts to blend with the gingiva next to it, and begins to show
signs of healing, the suture is opened / removed.
Complications: Fibrosarcoma (from
neurofibroma)