Unusually large-sized peripheral ossifying fibroma

John, Reena Rachel; Kandasamy, Saravanan; A, None Achuthan N

doi:10.4103/2231-0746.200347

Cited by 12 publications

(20 citation statements)

References 21 publications

(25 reference statements)

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“…Giant POFs share some common clinical features: large atypical dimensions that may cause facial asymmetry and teeth displacement with no root resorption . These characteristics are generally not seen in conventional lesions .…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, uncommon lesions have been detected with larger sizes, from 2.5 to 10.5 cm, and presented peculiar clinical and radiographic features . There are few published reports of large POFs, which may be referred to as gigantiform, large, giant, or simply POF . Thus, Childers et al .…”

Section: Introductionmentioning

confidence: 99%

“…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 …”

Section: Introductionmentioning

confidence: 99%

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

Freire

Silva

Pereira³

et al. 2018

Clin Adv Periodontics

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Introduction The peripheral ossifying fibroma (POF) is a benign reactive lesion that exclusively arises from gingiva. The lesion may gain considerably large sizes and present peculiar clinical and radiographic features that would then allow it to be called a giant POF; in that case, its otherwise simple surgical extraction could create a challenge. Thus, we elect here, for the very first time, a plausible alternative for treating giant POF: piezosurgery followed by placement of platelet‐rich fibrin (PRF). Case Presentation A 31‐year‐old black male presented a large asymptomatic nodule on the lower gingiva; the lesion had caused vestibular displacement of teeth and had been present for 18 years. Following the diagnostic hypothesis of a giant POF, an excisional biopsy was performed under local anesthesia using piezosurgery (microvibration of 36,000 times/sec was used in a bone cortical working mode), which confirmed the diagnosis. The surgical procedure was facilitated with the use of piezosurgery followed by placement of PRF, being the trans‐ and postoperative periods occurred with no complications. One year after the treatment, the patient shows no signs of disease recurrence and remains under follow‐up. Conclusions Giant POF is a rare gingival reactive lesion that can reach large dimensions, causing teeth displacement, functional, and esthetic impairments. The lesion can be successfully managed with piezosurgery and PRF, as illustrated herein, avoiding extensive bone loss and damage to the surrounding soft tissues.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Freire

Silva

Pereira³

et al. 2018

Clin Adv Periodontics

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show abstract

“…Rarely, abnormally large sized peripheral ossifying fibroma and the lesion associated paraneoplastic syndrome such as osteomlacia can give rise to local and systemic complications [16,17].…”

Section: Discussionmentioning

confidence: 99%

“…Removal of local factors or irritants is also required. The recurrence rate is about 16-30% [4,16] and the recurrences are believed to be related to lack of inclusion of periosteum or periodontal ligament in the excised specimen. If the defect is large, in recurrent cases and for esthectic reasons, filling the area with reconstructive materials can be considered [18].…”

Section: Discussionmentioning

confidence: 99%