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Dental fibroma.

Dental Fibroma

Not all bad breath can be cured by toothpaste, mouthwash, lozenges, or by spurious advertising.

Fibroma is a benign and common tumor. It can occur at any age from almost any soft tissue site, with the tongue, gums, and cheeks being the most common. Females are twice as likely as males to develop this benign tumor. Typically the lesion is a rounded, well-demarcated, variably sized mass attached to tissue by a stalk. The surface is smooth, and the color is slightly paler than the adjacent healthy tissue. It is usually characterized by a slow, painless growth accumulated over a period of months or years. Treatment usually requires total excision and recurrence is rare.

A case of palatal fibroma as discussed by Drs. L. Block and G.D. Houston of Springfield, Va., in the Annals of Dentistry (9:87) is a representative and illuminating example.

The case reported is that of a 33-year-old female. Brushing, flossing, and rinsing did not eliminate her severe halitosis and bad taste, which compromised the patient's relationships with others. Examinations of the hard palate revealed a large, firm, pink, ovid and pedunculated mass anchored to the gum tissue behind the upper-right second molar. It extended across the palate to the upper-left first bicuspid. The kidney-shaped mass had a flat surface, and obliterated a large portion of the hard palate. It measured 30mm. x 50mm. and was 4mm. thick. The mass could be pulled away about 4mm. away from the palate. A moderate amount of debris had collected on the back side of the mass. Obviously, no normal means of oral hygiene could remove such debris, which probably caused the halitosis. The mass also impeded the patient's speech.

Radiographs of the area showed normal underlying bones. Under local anesthesia the fibroma was totally removed at its base. There were no postoperative complications, and after three months the area was indistinguishable from the surroung tissue.

The halitosis, bad taste, and speech impediment were completely eliminated by removal of the fibroma. The patient also adjusted to the increased room for her tongue, thus improving her speech.
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Publication:Nutrition Health Review
Date:Mar 22, 1989
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