Pathology · single question

What is the most common etiology of an oral (irritation) fibroma?

  1. Neoplastic transformation
  2. Viral infection
  3. Chronic reactive/traumatic hyperplasia from repeated minor trauma (e.g., cheek/lip biting)
  4. A congenital developmental defect
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Correct answer: C. Chronic reactive/traumatic hyperplasia from repeated minor trauma (e.g., cheek/lip biting)

Despite the name 'fibroma,' the common intraoral 'fibroma' is not a true neoplasm — it's a reactive fibrous hyperplasia that develops in response to chronic low-grade irritation (e.g., habitual cheek/lip biting, ill-fitting prosthesis), most often seen on the buccal mucosa along the bite line.

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