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Fibroepithelial polyp is characterized by a pink, red or white knob-like growth. They may arise anywhere on the mucosa of the oral cavity, but more commonly seen in the gingiva, tongue and the lip. This is caused by minor trauma or irritation, usually following accidental biting. They are small and generally painless. They rarely continue to grow, unlike papillomas and fibromas, which have similar clinical pictures. They are usually single, but occasionally multiple. Removal of the irritant and excision is the treatment of choice.

Differential diagnosis:

Figure 1: Fibroepithelial polyp on the dorsum of the tongue. A broad-based growth of 1x1 cm size on the right side of dorsum tongue.
Figure 2: Fibroepithelial polyp. A 1x1 cm exophytic growth on the posterior aspect of the right buccal mucosa in this 73–year-old woman.
Figure 3: Fibroepithelial polyp. A 2.5x2.5 cm smooth broad based exophytic growth on the left buccal mucosa.
Figure 4: Fibroepithelial polyp. Note the 2x1cm pedunculated growth with a smooth surface involving the attached gingiva of right mandibular first and second molar.
Figure 5: Fibroepithelial polyp: A 4x2 cm sessile, nodular growth arising from the gingiva of the anterior maxillary region.
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