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Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
Oral medicine case(fibro-epithelial polyp)
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Oral medicine case(fibro-epithelial polyp)

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  • 1. Oral Medicine Case Presentation by Waad Khayat
  • 2. Personal Data: • Age: 49 years. • Sex: female. • Status: married. • Nationality: Egyptian. • Occupation: housewife.
  • 3. Patient’s History: • Chief Complaint: The patient wants orthodontic treatment. An exophytic lesion was shown on examination. • Medical History: Insignificant. • Family History: Insignificant. • Dental History: History of car accident 15 years ago Injury to buccal mucosa Suturing.
  • 4. Clinical Examination: Extra Oral Examination: • General Appearance: • Face: • Hair: • Eyes: • Nose: Insignificant for • Ears: any abnormality • Lip: • Lymph nodes: • Salivary glands: • TMJ: clicking.
  • 5. Clinical Examination: Intra Oral Examination: • Buccal mucosa: 1-scar on. 2-exophytic lesion. • Teeth: 1- large diastema. 2- over erupted #11. 3- RCT #17, 27. 4- caries #18, 47. 5- Amalgam restoration # 37. • Hard palate: • Soft palate: insignificant • Floor of the mouth: • Tongue:
  • 6. Radiographic examination:
  • 7. The Exophytic Lesion: • History: -Painless ,present more than 10 years. -No size changes, no bleeding or ulceration. • Site: solitary, anterior area of left buccal mucosa. • Size: 8 mm. • Shape: sessile. • Texture: smooth. • Color: pale pink. • Consistency: firm.
  • 8. Diagnosis: Differential Diagnosis: • Irritational fibroma. • Fibroepithelial polyp. • Pyogenic granuloma. • Firm minor salivary gland tumor. Prognosis: • good.
  • 9. Pale pink Small Smooth Firm Painless Buccal mucosa Female 4th decade Irritational fibroma Fibroepithelial polyp Pyogenic granuloma )late stage( Firm minor Salivary gland tumor -High incidence in oral cavity. -Most common site is buccal mucosa )biting line(. -Most common site is gingiva. -history of trauma for extragingival. -Ulcerated surface. -local irritation. -most common site is palate. -dome shape. -size changes or ulceration. -clinically similar to irritational fibroma. -in buccal mucosa.
  • 10. Treatment plan: 1. Identify the source of irritation. 2. Excisional biopsy. • Surgical removal. • microscopical examination. 3. Caries excavation and restoration. 4. Orthodontic treatment.
  • 11. Management: Excisional biopsy. • Perilesional anasthesia. • Surgical excision. • Suturing. • Post operative instructions • Fixation.
  • 12. Follow up: After 1 week: • Suture removal. After 2 weeks:
  • 13. Final diagnosis:
  • 14. Fibroepithelial polyp • One of the most common oral mucosal lesions. • It is a reactive focal fibrous and epithelial hyperplasia. • 66% female predilection. • 4th _ 6th decade. • 70% Buccal mucosa Etiology: • Local irritation. • Cheek biting. • Trauma.
  • 15. Fibroepithelial polyp shape Round, ovoid,leaf shape,sessile or pedinculated. size Less than 1 cm Color Normal color of the mucosa texture Smooth, may become ulcerated. consiste ncy firm growth slow mobility immovable number Usually single
  • 16. Fibroepithelial polyp Histopathological feature: Epithelium: keratinized stratified squamous epithelium. Elongation of rete ridges. Connective tissue: Dense mature collagen bundles. Chronic inflammatory cells.
  • 17. Fibroepithelial polyp: Management: • Eleminate the irritation. • Conservative surgical or laser removal. Prognosis: • Excellent if the irritation is eleminated. • No risk of malignant transformation.
  • 18. Related Topic: Aim: Evaluate the indications and the advantages of resection of oral hyperplastic lesion using CO2 laser versus surgical scalpel.
  • 19. Related Topic: Method: Oral hyperplastic lesions )128( Gingival hyperplasia )77( Fibromatous hyperplasia )51( CO2 laser )43( Surgical scalpel )7( CO2 laser )65( Surgical scalpel )11(
  • 20. Related Topic: Results: CO2 laser was the treatment of choise for most cases for the following reasons: • less pain and edema: Sectioning and sealing of nerve endings and lymphatic vessles. • less bleeding: Coagulate vessles less than 0.5 mm diameter. • Isolation: Formation of thin denaturalized collagen layer. • less malignant cells and germ spreading: Sterile incision. • Limited penetration capacity: soft lesions removal.
  • 21. References: • Neville: Oral and Maxillofacial Pathology , 2nd edition, page 438-442. • Tamarit M, Dolgado E. Removal of hyperplastic lesions of the oral cavity.Med Oral Patol Oral Cir Bucal.2005;10:151-162. • www.maxillofacialcenter. com
  • 22. Thank You

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