Prevalence of Focal Fibrous Hyperplasia in Bareilly Region: A 10-year Institutional Retrospective Study

Abstract

Background: Focal fibrous hyperplasia (FFH) is one of the most common benign soft tissue growths in the oral cavity. Chronic irritation or trauma
is frequently identified as the causative factor. It has a predilection for females, older than 30 years, few centimeters in diameter, pedunculated
or sessile and occurs frequently on the gingiva or buccal mucosa. Treatment involves surgical excision, and recurrences are very infrequent.
Aim: To evaluate the prevalence of FFH in any institutional setup for a period of 10 years.
Materials and methods: All the histologically diagnosed cases during the period of 10 years (2008–2017) were retrieved from the archives of
Department of Oral and Maxillofacial Pathology and evaluated for the prevalence of FFH. The details like age, sex, site, and anatomical side
were recorded.
Results: Out of the total 2,988 cases, 277 (9.27%) were found to be FFH of which 132 (48%) were male and 145 (52%) were female. Age ranged
between 10 years and 80 years and incidence was highest in 21–40 (46%) and 41–60 (21%) age groups. The most common site was left alveolar
mucosa (35.1%) followed by buccal mucosa (32.2%). The most commonly affected side was right side 188 (67.9%) and the least common was
midline 28 (10.1%).
Conclusion: This study indicates several differences in age and gender distribution as well as in site among the different lesions. The results of
this study vary from other studies and the data accessible here can be used as a guide for further multicenter studies.
Keywords: Focal fibrous hyperplasia, Low-grade irritation, Oral mucosa, Traumatic fibroma, Tumor’ reactive lesions.
Journal of Dental Sciences and Oral Rehabilitation (2019): 10.5005/jp-journals-10086-1215