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Proliferative mass found in the gingiva.

C S Miller1, R G Henry, D D Damm

  • 1Department of Oral Health Science, University of Kentucky College of Dentistry, Lexington.

Journal of the American Dental Association (1939)
|October 1, 1990
PubMed
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Peripheral ossifying fibroma grows slowly, typically under 1.5 cm. Surgical excision with follow-up offers a low recurrence rate, making tooth extraction rarely necessary for this benign oral lesion.

Area of Science:

  • Oral pathology
  • Dermatology
  • Surgical oncology

Background:

  • Peripheral ossifying fibroma (POF) is a common reactive hyperplasia of the oral mucosa.
  • It predominantly affects the gingiva, presenting as a sessile or pedunculated mass.

Observation:

  • POF exhibits a slow clinical course with limited growth, usually not exceeding 1.5 cm.
  • Symptoms are infrequent unless ulceration, functional impairment, or esthetic concerns arise.

Findings:

  • Surgical excision down to the periosteum is the standard treatment for POF.
  • This approach, combined with vigilant postoperative monitoring, results in a recurrence rate of 14%–16%.

Implications:

  • Conservative surgical management is effective in managing POF.

Related Experiment Videos

  • Tooth extraction is generally not required, preserving dental integrity.
  • Understanding POF's clinical behavior guides appropriate treatment and minimizes recurrence.