Inflammatory Fibrous Hyperplasia caused by Dental Exfoliation: Case Report

Authors

  • Vitória Bittencourt de Aguiar Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil https://orcid.org/0009-0001-8328-260X
  • Bianca Tiemi Uehara Lima Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil https://orcid.org/0009-0006-2630-2076
  • Raquel Borges Amancio de Lima Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil https://orcid.org/0009-0003-2324-2782
  • Leonardo Antônio de Morais Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil https://orcid.org/0000-0003-1894-0087
  • Lucas Fernando Oliveira Tomaz Ferraresso Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil https://orcid.org/0000-0002-2225-9262
  • Caio Sampaio Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil
  • Juliano Pelim Pessan Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil
  • Thayse Yumi Hosida Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil https://orcid.org/0000-0001-7007-330X
  • Alberto Carlos Botazzo Delbem Departamento de Odontologia Infantil e Social, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araçatuba 16015-050 Araçatuba – SP, Brasil

DOI:

https://doi.org/10.21270/archi.v14i5.6595

Keywords:

Surgery, Oral, Tooth, Deciduous, Hyperplasia, Pediatric Dentistry

Abstract

Inflammatory fibrous hyperplasia is a benign lesion that develops as a response of the connective tissue to chronic stimuli, such as trauma or irritation. The most appropriate treatment is the elimination of the trauma-causing agent, followed by surgical removal of the lesion. This study reports a case of inflammatory fibrous hyperplasia resulting from chronic, low-intensity trauma caused by the resorption of tooth 61. The patient, a 6-year-old female, VDS, visited the Pediatric Dentistry Clinic at the Araçatuba Dental School - FOA-Unesp, complaining of an abnormal lesion in the region of the upper central incisors. After anamnesis and intraoral examination, a nodular tissue enlargement was found around tooth 61. The clinical approach consisted of extracting tooth 61 to remove the irritant and performing surgical excision of the lesion. The biopsy material was sent for histopathological examination, which confirmed the diagnosis of inflammatory fibrous hyperplasia. After 7 days of clinical follow-up, good healing was observed, and at the 12-month clinical follow-up, no signs of recurrence were noted. The low prevalence of this condition in the pediatric population highlights the importance of considering misalignment of teeth, which can cause repeated trauma to the mucosa, as well as root fragments and diastemas, as etiological factors for inflammatory fibrous hyperplasia. It is concluded that the dentist should be attentive to lesions with similar clinical characteristics and perform differential diagnoses for early diagnosis and effective treatment.

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Published

2025-05-30

How to Cite

de Aguiar, V. B., Lima, B. T. U., de Lima, R. B. A., de Morais, L. A., Ferraresso, L. F. O. T., Sampaio, C., … Botazzo Delbem, A. C. (2025). Inflammatory Fibrous Hyperplasia caused by Dental Exfoliation: Case Report. ARCHIVES OF HEALTH INVESTIGATION, 14(5), 1561–1565. https://doi.org/10.21270/archi.v14i5.6595

Issue

Vol. 14 No. 5 (2025)

Section

Original Articles