none 10.31254/dentistry.2022.7302 BioMed Research Publishers BioMed Research Publishers 16195 144369916 314763 20230119235425554 10.31254 2023-01-19T23:54:35Z 2023-01-19T23:54:32Z 1 International Journal of Dentistry Research Int J Dentistry Res. 25813218 10.31254/dentistry http://www.dentistryscience.com/ 12 31 2022 7 3 Fazle Khuda Md Arafat Kabir Muhammad Sohag Shikder Nurrul Shaqinah Nasruddin AHM Noor A traumatic or irritational fibroma is the most prevalent submucosal reactive lesion in the oral cavity. It forms as a result of irritation or trauma and is composed of fibrous or connective tissue. Although electrical or laser surgery is beneficial for the excision of oral fibroma in patients taking anticoagulant, but these devices may not be available in all clinical settings. This case report aims to demonstrate scalpel excision as an effective and convenient surgical treatment for the management of the fibroma in patient having anticoagulant drug instead of using electrical, laser, or cryosurgery. A female patient, 70 years old, reported to the department with a chief complaint of painless swelling in the right lower posterior tooth region for the past 2 years. On examination, the lesion was found to be a well circumscribed, smooth, tender, firm, and lobulated pink swelling 1x0.8x0.5 cm in diameter positioned on the buccal mucosa of the right molar region. Surgical therapy was carried out by scalpel excision, followed by medication for the management. In compared to electrical, laser, and cryosurgery, scalpel excision was a simple and effective approach to successfully remove the fibroma, and complete healing of the surgical site was observed after 2 months. 12 31 2022 52 55 1 10.31254/BIOMED-CROSSMARK-POLICY www.biomedresearch.org false 10.31254/dentistry.2022.7302 http://www.dentistryscience.com/IJDR_202273_02.pdf