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Giant 'Leaf-like' Traumatic Fibroma of the Hard Palate: A Case Report
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Marzie Qasemzade   , Parham Farzam , Ghazal Hosseinzade Salavati , Amirhossein Yavari * |
| Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Isf.C., Islamic Azad University, Isfahan, Iran |
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Abstract: (8 Views) |
Background: Traumatic fibroma (TF) is a common benign oral mucosal lesion caused by chronic low-grade irritation. A rare variant, Leaf-like Traumatic Fibroma (LTF), usually presents as a flattened, pedunculated mass beneath maxillary dentures. Giant LTFs, larger than 2–3 cm, are extremely rare and may mimic neoplastic lesions, creating a diagnostic challenge.
Case Report: This report describes a 68-year-old man with a large, asymptomatic, pedunculated mass on the hard palate. Clinical examination revealed a 3 × 2 × 1.5 cm soft, leaf-like lesion beneath an ill-fitting maxillary denture, associated with severe denture stomatitis (Newton Type III). An excisional biopsy was performed using an 810 nm diode laser, and histopathological examination confirmed fibroepithelial hyperplasia with chronic inflammation. Final treatment included complete surgical removal by laser ablation and antifungal therapy for candidal infection. Complete mucosal healing occurred without recurrence at the 3-month follow-up.
Conclusion: This case shows that common reactive lesions may present as large masses resembling neoplasia. Successful long-term management requires not only complete surgical removal but also elimination of underlying causes, including prosthetic trauma and secondary fungal infection, to prevent recurrence and ensure recovery. |
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Type of Study: case report |
Subject:
Oral & Maxillofacial Medicine
Received: 2026/09/8 | Accepted: 2026/09/6 | Published: 2026/09/6
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