• Logo
  • SBMUJournals

Removal of an Extra-large Irritation Fibroma With a Combination of Diode Laser and Scalpel

Sedigheh Bakhtiari, Jamileh bigom Taheri, Marziye Sehatpour, Mohammad Asnaashari, Saaedeh Attarbashi Moghadam




Introduction: Irritation fibroma is the most common tumor like and sub mucosal reactive lesion in the oral cavity. Usually it is measured less than 1.5 cm in diameter; however in rare case it has more than 3 cm in diameter. Different kind of treatment for soft tissue lesions include scalpel excision, electrical surgery, and laser surgery. The diode laser can be more effective than conventional surgery, electrosurgery and cryosurgery in reduction of bleeding and pain.

Case Report: We reported a very large irritation fibroma in right lingual side of retromolar pad which was less prone to be traumatized under local irritation, in a woman wearing maxillary complete denture and use of both diode laser and scalpel for its excision.


Diode laser; Excision; Fibroma


Neville B, Damm DD, Allen CM, Bouqout J. Oral and Maxillofacial Pathology. 3rd ed. United Kingdom: Saunders Elsevier; 2009.

Singh A, Vengal M, Patil N, Sachdeva SK. Traumatic fibroma- A saga of reaction against irritation. Dental Impact. 2012;4(1):49- 52.

Halim DS, Pohchi A, EE Yi P. The prevalence of fibroma in oral mucosa among patient attending USM dental clinic Year. 2006- 2010. The Indonesian J Dent Res. 2010;1(1):61-66.

Bagde H, Waghmare A, Savitha B, Vhanmane P. Irritation fibroma - a case report. Int J Dent Clinics. 2013;5(1):39-40.

Hashemi Pour MS, Rad M, Mojtahedi A. A survey of soft tissue tumor- like lesions of the oral cavity: a clinicipathological study. Iran J Pathol. 2008;3(20):81- 87.

Harshavardhana B, Rath SK, Mukherjee M. A rare case of irritation fibroma associated with aleukoplakia of oral mucosa. AOSR. 2012;2(1):34-36.

Asnaashari M, Azari Mehrabi S, Alirezaei S, Asnaashari N. Clinical application of 810 nm diode laser to remove gingival hyperplastic lesion. J Lasers Med Sci. 2013;4(2):96-98.

Ayoub AH, Negm SA. Removal of fibroma using 980 nm diode laser: a case report. Int J Dent Clinics. 2014;6(1):26-27.

Eliades A, Stavrianos C, Kokkas A, Kafas P, Nazaroglou I. 808 diode laser in oral surgey: a case report of laser removal of fibroma. Journal of Medical Science. 2010; 4(3):175-178. doi:10.3923/rjmsci.2010.175.178

Singh G, Yulia, Chhibber A. laser assisted biopsy of intra- oral irritation fibroma: a cse report. SOLAZE. 2009;3(2):28-30.

Azma E, Safavi N. Diode laser application in soft tissue oral surgery. J Lasers Med Sci. 2013;4(4):206- 211.

DOI: https://doi.org/10.22037/jlms.v6i4.9685