Peripheral ossifying fibroma in the maxillary arch

Abstract

Many types of localized reactive lesions may occur on the gingiva, including focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma. Peripheral ossifying fibroma is a gingival growth, usually arising from interdental papilla and represents up to 2% of all lesions that are biopsied. Other terms used to describe this lesion include peripheral cementifying fibroma, peripheral fibroma with cementogenesis, peripheral fibroma with osteogenesis, peripheral fibroma with calcification, calcified or ossified fibrous epulis and calcified fibroblastic granuloma. This article reports a case of a 10 year old male child with an unusually large peripheral ossifying fibroma in the left maxillary alveolar ridge which showed recurrence after the surgical treatment.

Giant Peripheral Ossifying Fibroma Treated With Piezosurgery and Platelet‐Rich Fibrin: A Rare Case Report

“…The diagnosis of giant and conventional POF is achieved after histopathological analysis, which leads to similar observations in both lesions . The management of both giant and conventional POF should be surgical excision, including the involved periosteum, and elimination of the etiological factors, such as calculus, irregular restorations, and ill‐fitted dental appliances . In the present case, the excision was performed using piezosurgery, due to the proximity of the lesion to the mental nerve, which increases the risk of postoperative paresthesia.…”

“…Most of giant POFs have been diagnosed in older adults, during their sixth decade of life or older, which is different from the mean age presentation of conventional POF (second to third decades of life) . Interestingly, the giant type shows no sex predilection, with some cases occurring in male patients, while conventional POFs are more prevalent in females …”

“…Most of giant POFs have been diagnosed in older adults, during their sixth decade of life or older, 5,7,8 which is different from the mean age presentation of conventional POF (second to third decades of life). 3 Interestingly, the giant type shows no sex predilection, with some cases occurring in male patients, 4,[6][7][8]10 while conventional POFs are more prevalent in females. 3 Concerning the clinical appearance, giant POF commonly presents as an exophytic mass with a lobulated surface covered by pinkish or reddish mucosa, which can be ulcerated on the occlusal surface when the lesion is in contact with the opposing teeth.…”

“…proposed the term “giant” to denominate these larger lesions. Histologically and biologically, the giant POF has revealed a benign course, although some lesions present superficial ulceration, rapid growth, and bone involvement, what appears to be clinically aggressive and trigger severe functional impairments …”

A Rare Massive Exophytic Gingival Growth

“…Various pathologies present as focal fibrous overgrowths and peripheral ossifying fibroma is a beningn reactive lesion that usually arises from the interdental papillae. 1,2 Some of these gingival lesions can have an unexpected clinical course if not diagnosed and treated early as presented in the following case.…”