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Peripheral cemento-ossifying fibroma in a child: a case report
Mariana Passos1, Rebeca Azevedo, Maria Eliza Janini
1Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Brazil.
The Journal of Clinical Pediatric Dentistry
|February 16, 2008
Summary
Peripheral cemento-ossifying fibroma, a reactive gingival lesion, can impede tooth eruption and promote caries. This case highlights its occurrence in a child, linked to delayed premolar eruption and severe molar decay.
Area of Science:
- Oral pathology
- Pediatric dentistry
- Dental anomalies
Background:
- Peripheral cemento-ossifying fibroma (PCOF) is a benign gingival tumor of unknown reactive origin.
- PCOFs can affect adjacent teeth, potentially causing eruption disturbances and contributing to dental caries.
- Early diagnosis and management are crucial for preventing complications.
Observation:
- A case report of an 11-year-old girl presenting with a PCOF in the mandibular posterior region.
- The lesion was associated with the absence of premolar eruption.
- The first permanent molar adjacent to the PCOF exhibited severe caries.
Findings:
- The PCOF likely contributed to the delayed eruption of the premolar.
- Plaque accumulation around the lesion exacerbated caries in the adjacent first permanent molar.
- Histopathological examination confirmed the diagnosis of peripheral cemento-ossifying fibroma.
Implications:
- This case underscores the importance of considering PCOF in pediatric patients with localized dental anomalies.
- Prompt intervention for PCOF can prevent further complications like delayed eruption and severe caries.
- Further research into the etiology of PCOF may elucidate its role in dental development.
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