title: Soft Tissue Reconstruction with Free Gingival Graft Technique following Excision of a Fibroma.
abstract: Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up. Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.
authors.affiliation: Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, 34295 Istanbul, Turkey.
authors.forename: Nurcan
authors.initials: N
authors.lastname: Tezci
authors.affiliation: Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, 34295 Istanbul, Turkey.
authors.forename: Suleyman Emre
authors.initials: SE
authors.lastname: Meseli
authors.affiliation: Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, 34295 Istanbul, Turkey.
authors.forename: Burcu
authors.initials: B
authors.lastname: Karaduman
authors.affiliation: Department of Pathology, Faculty of Medicine, Istanbul University, 34093 Istanbul, Turkey.
authors.forename: Serap
authors.initials: S
authors.lastname: Dogan
authors.affiliation: Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, 34295 Istanbul, Turkey.
authors.forename: Sabri Hasan
authors.initials: SH
authors.lastname: Meric