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Mesenchymal
Odontogenic tumors
• Benign mesenchymal tumor
(Benign tumor of
fibrous connective
tissue)
• The most common benign soft
tissue neoplasm in the oral cavity
Peripheral
Central
•Well defined
•Normal color of oral mucosa or slightly paler
•Sessile or pedunculated
•Smooth , non ulcerated surface unless traumatized
TONGUE Gingiva
Buccal mucosaPalate
 Soft or firm in depending on
its cellular or fibrous contents
firm soft
stretched St.sq.epithelium
flattening of the rete pegs
HISTOLOGIC APPEARANCE OF
FIBROMA
THE SURFACE OF THE LESION IS COVERED BY A
LAYER OF STRATIFIED SQUAMOUS EPITHELIUM
WHICH FREQUENTLY APPEARS STRETCHED AND
SHOWS FLATTENING OF THE RETE PEGS.
Hyperplastic
fibrous C.T
stretched St.sq.epithelium
flattening of the rete pegs
AREAS OF CALCIFICATION OR EVEN OSSIFICATION
MAY BE DETECTED IN SOME FIBROMAS ESPECIALLY
THOSE OF GINGIVA AND HARD PALATE
•WHEN THE LESION IS TRAUMATIZED OR
IRRITATED
Inflammatorycells,vasodilatationand
inflammatoryedema
• MAY DEVELOP FROM PYOGENIC GRANULOMA
•PRESENCE OF FIBROMAS AFFECTS NORMAL
FUNCTIONING AND ESTHETICS
MAY CAUSE SOCIAL AND EMOTIONAL PROBLEMS
•Conservative surgical excision
•Recurrence is rare
Treatment
 A 40 years old female complain of painless
slowly growing mass in the left side of hard
palate in 4,5 region since 2years
 No history of any traumatic injury, pain or pus
drainage
 Size : 0.5 x 0.5 cm.
 On palpation : slightly
pedunculated – non tender
– didn’t blanch on pressure
–rubbery in consistency
Upper left 4,5
Mild horizontal bone
loss with canine, first
and second premolars.
No root resorption or
tooth displacement.
Bone around the
outer limit of the lesion
is normal
•Hemoglobin
•Total WBCS count
•Clotting time
Normal
Aspiration wasn’t done
bec. It is solid
Complete
stoppage of
tobacco chewing.
Keep good oral
hygiene
Excision of the lesion
under L.A with adrenalin
Medications were
prescribed
Patient recall for
evaluation
Fig.5: Excised tissue
Healing was
found to be
uneventful
Patient is still
under follow-up
Recall after 15 days
stratified squamous epithelium .
bundles of collagen fibers
and fibroblasts
Blood vessels
Fibroma- benign tumors
Fibroma- benign tumors

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Synthetic Fiber Construction in lab .pptx
 

Fibroma- benign tumors

Editor's Notes

  1. Fibroma (Benign tumor of fibrous connective tissue) Odontogenic tumors
  2. stretched St.sq.epithelium flattening of the rete pegs
  3. Intraoral examination
  4. Upper left 4,5