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Case Reports in Dentistry
Volume 2013, Article ID 871081, 3 pages
http://dx.doi.org/10.1155/2013/871081
Case Report

Iatrogenic Inflammatory Fibrosis of Hard Palate in a 13-Year-Old Female Patient

1Department of Pediatric Dentistry, Panineeya Institute of Dental Sciences, Kamalanagar, Dilsukhnagar, Hyderabad, Andhra Pradesh 500060, India
2Department of Oral and Maxillofacial Surgery, Panineeya Institute of Dental Sciences, Kamalanagar, Dilsukhnagar, Hyderabad, Andhra Pradesh 500060, India

Received 5 November 2013; Accepted 1 December 2013

Academic Editors: V. Brailo and U. Zilberman

Copyright © 2013 Shanthan Mettu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Palatal swellings are rare in children and the incidence differs from that of the adult counterparts. When the palatal swellings do arise in children, they usually are palatal abscess from periapical region, and few cases like pleomorphic adenoma in young adults have also been reported. But inflammatory fibrosis of palate in children is a rare occurrence. Inflammatory fibrosis is formation of excess fibrous connective tissue in an organ or tissue, as a reparative or reactive process. This report describes an unusual case of iatrogenic inflammatory fibrosis on the palate due to extraction of tooth number 22 in a 13-year-old female patient. The patient presented with a single large well-circumscribed oval palatal swelling that was soft, fluctuant, not fixed, and nontender. Surgical excision of the lesion was done and it was sent for histopathological assessment. The biopsy showed fibrous tissue with collagen fibers, spindle shaped fibroblasts, neovascularization, RBCs, chronic inflammatory cells, and traces of salivary gland and nerve tissue.