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Peripheral ossifying fibroma: A clinical report.

K S Poonacha1, Anand L Shigli, Dayanand Shirol

  • 1Department of Pedodontics, KM Shah Dental College and Hospital, Pipariya, Waghodia Road, Vadodara, Gujarat, India.

Contemporary Clinical Dentistry
|January 5, 2012
PubMed
Summary

Peripheral ossifying fibroma is a common reactive gingival growth. This case report details an unusual large presentation in a 12-year-old girl, impacting occlusion.

Keywords:
Peripheral ossifying fibromacalcifying fibroblastic granulomafibrous epulisgingival growthperipheral cemento ossifying fibroma

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Area of Science:

  • Oral Pathology
  • Gingival Lesions
  • Reactive Hyperplasia

Background:

  • Gingival growths are frequently reactive, not neoplastic.
  • Peripheral ossifying fibroma (POF) is a common reactive gingival lesion.
  • POF arises from the periodontal ligament, accounting for 9% of gingival growths.

Purpose of the Study:

  • To present a clinical report of a rare, large peripheral ossifying fibroma.
  • To highlight diagnostic challenges and histomorphological identification of POF.
  • To discuss the impact of an unusually sized POF on occlusion.

Main Methods:

  • Clinical case presentation.
  • Histopathological examination (implied).
  • Review of literature on peripheral ossifying fibroma.

Main Results:

  • A 12-year-old female presented with a large POF in the posterior maxilla.
  • The lesion significantly interfered with the patient's occlusion.
  • Typical histomorphology confirmed the diagnosis of POF.

Conclusions:

  • Peripheral ossifying fibroma can present with atypical large dimensions.
  • Early clinical identification and histopathological analysis are crucial for POF diagnosis.
  • Management should consider the lesion's size and its effect on occlusion.