What is Oral Fibroma? Its Causes, Symptoms, Treatment, and Prevention?

The first part of the digestive tract is the mouth (also known as oral cavity). It is an essential organ for talking and eating. Unfortunately, these activities can cause a type of mouth sore- Oral Fibroma.

What is Oral Fibroma?

Oral Fibroma is a type of non-malignant mouth sore which consists of smooth scar tissues. It’s other names are oral polyp, traumatic Fibroma, fibrous nodule, and focal intraoral fibrous hyperplasia. Although, oral Fibroma affects about 1-2% of adults, it can occur at all ages of development.

Oral Fibroma is usually a sole lesion, smooth, raised, and firm to touch. They grow in response to localized irritation and are rarely cancerous. It’s less than 1 cm in diameter.  This oral condition does not have a color different from the normal pink color of your mouth, except in the case of bleeding caused by excessive irritation. It affects the inner parts of the cheek, tongues, and lips, and can be discovered through dental examination.

Oral Fibroma are round or oval and can grow bigger with increased irritation, but may appear flat when found underneath a denture. The surfaces of Oral Fibroma are usually rough and scaly. Although its texture and appearance looks like cancer cells, oral Fibroma does not cause oral cancer or develop into cancerous cells.

Oral Fibroma



Types of Oral Fibroma

Epulis fissuratum

This is an overgrowth of fibrous tissues caused by severe irritation of the denture flange against the point where the gums and inner cheeks meet. Due to bone loss, bony support for dentures base is unstable, leading to ill-fitting dentures. It’s mostly found in elderly ones.

Giant cell fibroma

The Giant cell fibroma is not caused by irritation. It can occur at any age, and it’s mostly found on the tongue or palate.

Causes of Oral Fibroma

Oral Fibroma are formed owing to localized irritation to the delicate tissues found in your mouth. The places they can be found are sides of your tongue, lips, gums, and inside your cheeks. Repeatedly biting the sides of your cheek(where the upper and lower jaw meets) or lips can also cause Oral Fibroma. Also, improper fittings of dentures can cause Oral Fibroma because of the constant irritation of the affected area of the mouth.

Symptoms of Oral Fibroma

The symptoms of Oral Fibroma  include but are not limited to

  • Presence of uncommon lumps in your mouth
  • Presence of coarse or uneven surfaces inside your cheeks or on the gums
  • A change in the color of your cheek and gum tissues ranging from pale to dark coloration

Treatment of Oral Fibroma

Depending on the severity of oral Fibroma, the treatment procedures are easy and efficient . Start by identifying the source of the irritation. If the source of the irritation is not identified and removed, there might be a reoccurrence after treatment.

  • If oral Fibroma is caused due to a habit such as excessive biting of the insides of your cheeks or lips, you should consciously restrain yourself from the habit after treatment to avoid a recurrence.
  • If it’s due to ill-fitting dental appliances or dentures, adjust and fit dentures properly and visit your dentist for treatment.

Oral Fibroma is best treated via dental surgery. Here they are

Laser Removal

In Laser removal your dentist uses an anesthetic to numb the fibrous area and remove the oral fibroma. This method is highly efficient and reduces your pain. The fibroma area is continuously swept with the laser until the Fibroma is completely removed. The laser cauterizes and seals the incision as the Fibroma is removed. Therefore, there is no need for suturing after the surgery.



Laser removal takes about fifteen minutes, and it’s without pain and bleeding. However, the effect of the anesthetic may not wear off immediately. And the best part is that you don’t have to restrict your activities or take special care while recovering.

Use of Scalpel

This surgery is performed using a scalpel-cutting instrument. The fibrous area is numbed before cutting with the scalpel. Unlike the laser, this procedure requires suturing. The number of sutures depends on the size of the Fibroma.

Special care must be taken during recovery to avoid infection of the wound. If you notice a swelling, discharge, or excessive pain after the surgery, visit your dentist immediately, it might be a sign of an infection. You should also avoid extremely spicy or hot foods, and this can lead to an irritation of the incision.

Ensure you visit a trained and competent dentist for your surgery. Post-surgery pains should be mild and can be managed using pain relief medications according to your doctor’s prescription.

Oral Fibroma can also be treated with a few home remedies. These ingredients have no side effects and can easily be purchased at your local store. You can swab on the affected area twice daily using any of the household items mentioned below.

A mixture of salt and water: rinse the affected area with it



  • Hydrogen peroxide
  • A mixture of honey and oil extracted from tea tree
  • A paste made from water and baking soda
  • Mon-alcoholic mouthwash
  • Moist, chilled black tea bags
  • A paste of honey, water, and turmeric

If you do not record success with these options, visit your dentist.

Prevention of Oral Fibroma

Your oral habits can make you vulnerable to the oral fibromas. So, it’s important that you priotize your oral habits. First off, avoid repeatedly biting your cheeks as it will reduce irritation of your mouth. Also, ensure proper fitting of dental appliances and dentures if you make use of them.

Note: There are systemic diseases associated with multiple small fibromas. A differential diagnosis differentiates it from oral fibrous.

Take a look:

  • Neurofibroma: It’s a slow-growing mass on the tongue, Buccal mucosa, and other locations.
  • Neurilemmoma: It’s a painful oral condition on the tongue
  • Lipoma: Lipoma has a yellow coloration because of the presence of lipid.
  • Fibrosarcomas: Fibrosarcomas is a rare oral condition, but gradually enlarges if not properly taken care of.
Deepak Kansal

Deepak Kansal

I am a Dental Professional, Acquainted Content writer and creator, Imparting valuable dental knowledge through trickycare.com and working towards making a difference. Any information provided on the Trickycare platform is for general information only and does not constitute professional advice.

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