A giant cell fibroma and focal fibrous hyperplasia in a young child: a case report

Establishing Aesthetics by Purposeful Autoreimplantation in Inflammatory Fibrous Hyperplasia: A 12-Month Follow-up Case Report

This article aims to describe purposeful reimplantation and inflammatory fibrous hyperplasia cases caused due to poor dental health and malpositioning of teeth. A 17-year-old male patient was referred to a dental specialty hospital for soft tissue growth in the lower anterior tooth region. Anamnesis and clinical examination revealed that tooth #31 was severely hypoplastic. A surgical procedure and purposeful reimplantation were carried out, and a histological examination revealed inflammatory fibrous hyperplasia. During the follow-up appointments, it was feasible to see progress and the patient's satisfaction. Despite the low occurrence of inflammatory fibrous hyperplasia, it is important to note that tooth positioning outside of its normal alignment in the arch can contribute to plaque and calculus accumulation, which can then become etiological factors for inflammatory fibrous hyperplasia. As a result, dentists must be attentive in order to establish a diagnosis and therapeutic therapy as well as monitor these instances.

How to cite this article

Gangwar A, Murry JN, Jungio MP, et al. Establishing Aesthetics by Purposeful Autoreimplantation in Inflammatory Fibrous Hyperplasia: A 12-Month Follow-up Case Report. Int J Clin Pediatr Dent 2024;17(2):216-220.

"Giant cell fibroma of buccal mucosa -an unusual lesion of unusual size": A case report

Giant cell fibroma is a benign oral fibrous tumour. The clinical appearance of majority of non-neoplastic fibrous growths is similar, but unique histopathological features of giant cell fibroma aid in its final diagnosis. It usually manifests as an asymptomatic, sessile or pedunculated mass usually less than 1 cm in diameter. In this case report, we highlight a case of giant cell fibroma in a 58-year-old male patient, which had an unusual size with associated pain. Although giant cell fibromas are benign lesions, it is important for dentists to be aware of this lesion based on its frequency of occurrence and need for its accurate diagnosis.

Giant-cell fibroma: Understanding the nature of the melanin-laden cells

Giant-cell fibroma is a localized, benign fibrous mucosal mass, which clinically mimics any other fibroepithelial growth, and its distinction from other lesions is on the basis of its peculiar histopathology. A case of giant-cell fibroma with stroma strewn with brown pigment-laden cells is presented herewith. Immunohistochemical staining aided with histochemical reaction to understand the origin of these cells was carried out. Various mechanisms that explain the presence of melanin granules in reactive lesions of giant-cell fibroma is discussed in the present report.

Giant Cell Fibroma in a Two-Year-Old Child

The giant cell fibroma is a benign nonneoplastic fibrous tumor of the oral mucosa. It occurs in the first three decades of life in the mandibular gingiva, predominantly, showing predilection for females. This article reports a case of giant cell fibroma in a 2-year-old girl, which is an uncommon age for this lesion. The patient was brought for treatment at the Research and Clinical Center of Dental Trauma in Primary Teeth, where practice for the Discipline of Pediatric Dentistry (Faculty of Dentistry, University of São Paulo, Brazil) takes place. During clinical examination, a tissue growth was detected on the lingual gingival mucosa of the lower right primary incisors teeth. The lesion was excised under local anesthesia and submitted to histological examination at the Oral Pathology Department of the Faculty of Dentistry, University of São Paulo, which confirmed the diagnosis of giant cell fibroma. There was no recurrence after 20 months of monitoring. This instance reinforces the importance of oral care from the very first months of life in order to enable doctors to make precocious diagnosis and offer more appropriate treatments for oral diseases, as well as to promote more efficient oral health in the community.

Giant Cell Fibroma in a Paediatric Patient: A Rare Case Report

Giant cell fibroma is a form of fibrous tumour affecting the oral mucosa. Its occurrence is relatively rare in paediatric patients. Clinically it is presented as a painless, sessile, or pedunculated growth which is usually confused with other fibrous lesions like irritation fibromas. Here we are presenting a case where a seven-year-old male patient reported with a painless nodular growth in relation to lingual surface of 41 and 42. Considering the size and location of the lesion, excisional biopsy was performed and sent for histopathological analysis which confirmed the lesion as giant cell fibroma.

Giant cell fibroma in children: report of two cases and literature review

Background

Giant cell fibroma is a type of fibrous tumour of the oral mucosa which rarely affects children under the age of 10. The purpose of this paper was to contribute two clinically and histologically documented cases of giant cell fibroma in the free gingiva of a 7 and 6 year old boys.

Methods

Both nodules were presented in the mandibular anterior region. In the differential diagnosis several fibrous hyperplastic lesions were considered such as traumatic fibroma, papilloma, peripheral ossifying fibroma, peripheral odontogenic fibroma, giant cell fibroma and odontogenic hamartoma.

Results

The lesions were removed and the histological examination revealed fibrocollagenous connective tissue with the presence of stellate giant cells which confirmed the diagnosis of giant cell fibroma.

Conclusions

Dentists should be aware of the existence of giant cell fibroma in children, which must be included in the differential diagnosis of nodular lesions of the gingiva and adequately diagnosed and treated by removal and histopathological examination.

Giant cell fibroma: a case report with immunohistochemical markers

Giant cell fibroma may mimic fibroma of the gingiva, but have distinctive histopathological difference. Immunohistochemical markers are required to diagnose GCF. It may occur at any age but most often in the third decade of life. It may be often asymptomatic but may not be esthetic if present in the anterior region of the jaw. Surgical excision should be performed, and the prognosis is good. However long term follow-up is required to check for any recurrence. The most common gingival enlargements like fibroma and granuloma may be mistaken for GCF. We present a case report with histopathological markers used to diagnose GCF.