What is that growth? Several weeks ago, I asked the very same question in one of my blogs. It caught the attention of a young man, the son of one of my closets friends who also happens to be a dental patient of my Palm Harbor Dentist office since 1989. He read the blog I am referring to, at his next dental cleaning visit showed me his fibroma and asked what could be done about it. A little background first. He reported that it began as an irritation in his cheek where the orthodonic bracket/wire irritated his cheek. The constant irritation then subsequent repeated trauma from biting the inflamed tissue is what caused this to grow. It is a benign growth which can easily be excised.
I will now demonstrate how I was taught to excise these lesions 30+ years ago at Columbia University’s School of Dental and Oral Surgery, now called the School of Dental Medicine in New York City.
This being a benign (non-cancerous) growth, radical removal of peripheral tissue is not necessary. A single suture is used to grasp and hold the growth. Gentle pressure is applied, pulling the fibroma while proceeding with the excision.
A semi-lunar incision is made around the growth, securely positioning it, sharp dissection is performed using the scalpel blade. Once free, the growth still sutured is freed and removed. Primary closure is accomplished with a single internal mattress suture.
Paul L. Caputo, DDS3490 E Lake Rd S Suite A