Peripheral ossifying fibroma, some rare findings

Chaturvedy, Vivek; Gupta, Amit; Gupta, Hoti Lal; Chaturvedy, Shefali

doi:10.4103/0972-124x.128249

Cited by 4 publications

(5 citation statements)

References 7 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, the diagnosis based only on clinical aspects can be difficult, and histopathologic examination of the surgical specimen obtained by excisional biopsy is mandatory for an accurate diagnosis of POF. [11] In the case reported here, the histopathologic picture was diagnostic of POF as it was characterized by the presence of fibrous connective tissue with plump proliferating fibroblasts, calcifications, dense bundles of collagen fibers and blood vessels covered by stratified squamous parakeratinized epithelium.…”

Section: Discussionmentioning

confidence: 86%

Peripheral ossifying fibroma with an underlying exophytic bony mass

Reddy

Rao

Hegde

et al. 2015

J Int Clin Dent Res Organ

View full text Add to dashboard Cite

The peripheral ossifying fi broma (POF) is a benign reactive gingival overgrowth occurring mainly in the anterior maxilla in young adults, predominantly among females. The defi nitive diagnosis is established by histological examination. Surgery is the treatment of choice, though the recurrence rate can reach up to 20%. The purpose of this article is to present a case of POF in a 50-year-old female with an abnormal size and an exophytic bony mass associated with it.

show abstract

Section: Discussionmentioning

confidence: 86%

Peripheral ossifying fibroma with an underlying exophytic bony mass

Reddy

Rao

Hegde

et al. 2015

J Int Clin Dent Res Organ

View full text Add to dashboard Cite

show abstract

“…The influence of hormones is also likely to be a causative factor in women. 2,6 The prevalence of peripheral ossifying fibroma recurrence is between 8 and 20 percent. Surgical excision may be the treatment of choice after removing local causative factors such as plaque, calculus, ill-fitting dentures and poor reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…4 Localized gingival enlargement generally leads to a reactive proliferation lesion rather than a neoplasm. 5 Reactive or inflammatory lesions represent more than 90% of histopathologically-analyzed gingival biopsies 6 and are generally included in the diagnosis of pyogenic granulomas, fibrous hyperplasia, peripheral ossifying fibromas and peripheral giant cell granulomas. However, certain authors have stated that peripheral ossifying fibroma is a variant of central ossifying fibroma and, therefore, a neoplastic process.…”

Section: Introductionmentioning

confidence: 99%

“…Histopathological examination reveals stratified squamous epithelium and connective tissue in large numbers accompanied by fibroblast cell proliferation. 6 Calcification can be observed in connective tissue in the form of interconnected bone and osteoid trabeculae, that part of soft tissue in central ossifying fibroma. 10 This report describes a case of peripheral ossifying fibroma in the maxillary gingiva of a 26-year-old male patient.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Peripheral ossifying fibroma of the anterior maxillary gingiva

Anugraha¹,

Sumarta²

2019

Dent. J.

View full text Add to dashboard Cite

Background: Peripheral ossifying fibroma is a rejuvenation of the reactive gingiva, usually occurring in the anterior maxillary gingiva. The condition is often clinically ambiguous when diagnosed on the basis of gingival hyperplastic lesions such as focal fibrous hyperplasia, peripheral giant cell granuloma, peripheral fibroma and pyogenic granuloma because peripheral ossifying fibroma has a tendency to recur with a ratio of around 20%. The literature on the subject predominantly classifies peripheral osifying fibroma as an epulis type, but it has also been identified as a peripheral mesenchymal tumor presenting similar clinical symptoms to ossified fibrous epulis. Purpose: The purpose of this article is to explain the rare case of peripheral ossifying fibroma in the anterior maxillary gingiva which can be clinically misdiagnosed as reactive gingival hyperplastic lesions. Case: A case report of peripheral ossifying fibroma in the left lateral incisor and canine of the maxillary gingiva in a 26 year-old male. The patient chiefly complained of a painless, slow growing gingival enlargement on the upper left jaw during the previous five years. Clinical examination confirmed it to be a single, hard swelling in the 21-24 region, pale in color and with a rough surface. Case management: The procedure constituted a complete surgical excision of the lesion together with the underlying periosteum curettage intended to prevent recurrence. The histopathologic examination results indicated tissue with squamous epithelial lining, stroma consisting of fibroblasts, and immature trabecula with osteoblastic rimming between collagen tissue without signs of malignancy. Osteoblastic rimming has specific features in histopathologic examination of ossifying fibroma. Conclusion: Peripheral ossifying fibroma is a rare solitary enlargement in the oral cavity frequently misdiagnosed as ossified fibrous epulis. A definitive diagnosis is made by means of histopathologic examination. The condition has a low reccurance rate.

show abstract

“…Generally underlying radiological changes cannot be seen but in rare instances if the lesion grow larger size there can be mild erosion of bone seen. 11 To find out the etiology of the lesion, two theories have been postulated. 6 1.…”

Section: Introductionmentioning

confidence: 99%

Peripheral ossifying fibroma-Case report

Gangwar

Kumari²,

Chaudhary³

2023

IDJSR

View full text Add to dashboard Cite

Peripheral ossifying fibroma is a reactive lesion arising from periodontal cells in response to local irritation with females in second decade of their life are more affected and with maxillary anterior region predilection. Clinical appearance with erythmatous or pink in colour with large lesions are generally smooth. Lesion usually not exceed 1.5 cm. Underlying bone sometimes shows loacalized bone erosion. Treatment usually involves exicision of the lesion with histopathological examination. Chances of recurrence after complete removal is higher. 19 year old female patient came with complain of swelling of gingiva at 43 44 region with clinical examination reveal 1cm × 1cm lesion with pink in colour and smooth surface and radiographic examination showing localized bone loss. After complete phase 1 therapy, exision of the lesion was performed and excised lesion was tranferd in 10% formalin for histopathological examination immediately. Hyperplastic stratified parakeratinized epithelium with connective tissue stroma havind osteocytes and osteoblasts and cementum like material lead to diagnosis of Peripheral Ossifying Fibroma(POF). POF is a third most common gingival reactive lesion. Histopathological and clinical examination require to confirms the diagnosis.

show abstract

Peripheral ossifying fibroma, some rare findings

Cited by 4 publications

References 7 publications

Peripheral ossifying fibroma with an underlying exophytic bony mass

Peripheral ossifying fibroma with an underlying exophytic bony mass

Peripheral ossifying fibroma of the anterior maxillary gingiva

Peripheral ossifying fibroma-Case report

Contact Info

Product

Resources

About