Case Report IP Journal of Surgery and Allied Sciences, July-September, 2019;1(1):66-67 66 Irritation fibroma: A case report Shaik Ali Hassan 1* , Sumit Bheteja 2 , Neha Aggarwal 3 , Geetika Arora 4 1 Dental Surgeon, 2 HOD, 3,4 Reader, 2 Dept. of Oral Medicine & Radiology, 3 Dept. of Public Health Dentistry, 1-3 Manav Rachna Dental College, Faridabad, Haryana, 4 Inderprastha Dental College & Hospital, Ghaziabad, Uttar Pradesh, India *Corresponding Author: Shaik Ali Hassan Email: alishaikhassan@gmail.com Abstract Irritation fibroma is reactive hyperplasia of fibrous connective tissue due to local irritation or continuous trauma. It mostly occurs on tongue, gingiva and buccal mucosa. The aim of this case report is to show the clinical features and management of the benign lesion which was seen on left buccal mucosa. Keywords: Fibroma, Buccal mucosa, Benign lesion. Introduction A fibroma may occur at any oral site, but it is seen mostoften on the buccal mucosa along the plane of occlusion ofthe maxillary and mandibular teeth.Cause of the irritational fibroma are calculus, overhanging margins, restorations, margins of caries, chronic biting, sharp spicules of bones, and overextended borders of appliances.Fibroma, is a benign neoplasm, it is reactive in nature and represents the reactive hyperplasia of fibrous connective tissue in response to local irritation or trauma rather than being a true neoplasm. 1 It is usually characterized by a slow, painless growth occurring over a period of months or years. 2 The surface may behyperkeratotic or ulcerateddue to repeated trauma. it mostlyseen in the anterior maxilla. 3 Fig. 1: Shows extraoral photo of patient Fig. 2: Intraoral photograph showing irritation fibroma Case Report A 40-year-old male patient reported to the department of oral medicine and radiology with the chief complaint of decayed teeth in upper right back tooth region since 5-6 months. Patient was apparently well 5-6 days back he started noticing food lodgement and discoloration of tooth. Patient has no history of drug allergy. Patient brushes once daily. Patient gives a history of tobacco in form of beedi since 5years. No significant medical and dental history was reported by the patient. On extraoral examination the face appeared bilaterally symmetrical, with competent lips, and lymph nodes were not palpable. On intra oral