EC Dental Science

Aim: The aim of this article is to represent a case of a large irritation fibroma on the maxillary arch, its ethology, diagnosis and treatment.

Case Report: A 67-year-old patient came to the University Dental Clinical Centre "Ss. Panteleimon" in Skopje with a pathological formation localized in the upper jaw at the residual alveolar ridge. She had been wearing old broken total dentures for 34 years. The formation was surgically removed and it was diagnostically confirmed that it is an irritation fibroma. New total dentures were manufactured.

Results: The patient was suffering from the broken sharp edges of the denture, and as a result of constant long-term irritation, pathological formation was formed. The patient had many accompanying systemic disorders, putting her oral health second, but still had a good immune system. The surgical wound from removing the irritation fibroma was healing properly. Preventive examinations and regular controls must be carried out at least twice a year for proper managing of the patients’ oral health.

Conclusion: The organism has protective mechanism from irritation of foreign bodies in the mouth by forming benign tissues, depending on the immune system. Timely preventive measures must be taken in consideration for the benefit of the entire health of the patient.

 Keywords: Irritation Fibroma; Broken Dentures; Regular Controls; Immune System

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