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940 nm Diode Laser assisted excision of Peripheral Ossifying Fibroma in a neonate
Nitesh Tewari1, Vijay Prakash Mathur1, Asit Mridha2
1Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences.
Insights
Peripheral ossifying fibroma, a rare lesion linked to neonatal tooth extraction, requires careful diagnosis. Early intervention and laser excision showed no recurrence in an infant, highlighting safe treatment options.
Area of Science:
- Oral pathology
- Pediatric dentistry
- Surgical innovation
Background:
- Peripheral ossifying fibroma (POF) is a rare, benign reactive lesion often mistaken for neoplasm due to its appearance and location.
- High recurrence rates necessitate thorough histopathological examination and diligent long-term follow-up.
Observation:
- A 2-month-old infant presented with a rapidly growing soft tissue mass on the anterior mandibular ridge.
- The infant's history included the extraction of two neonatal teeth at 2 weeks of age.
Findings:
- Surgical excision using a 940 nm diode laser was performed.
- Histopathological examination confirmed the diagnosis of Peripheral Ossifying Fibroma, characterized by hypercellularity and dystrophic calcification.
- No recurrence was observed during an 18-month follow-up period.
Implications:
- Paediatric dentists must recognize potential soft tissue lesions following natal and neonatal tooth extraction.
- The 940 nm diode laser demonstrates safety and efficacy for minor oral soft tissue surgeries in neonates and infants.
- This case underscores the importance of prompt diagnosis and appropriate management to prevent recurrence of POF.
Background:
Peripheral ossifying fibroma associated with neonatal tooth extraction is a rare, benign reactive lesion, but its nature and location often scares the patient & parents for possibility of neoplasm. A high recurrence rate makes its histopathological examination and long term follow up important.
Case Report:
A 2 months old boy presented with enlarging soft tissue growth on the anterior mandibular ridge. The history revealed extraction of two neonatal teeth at 2 weeks of age. Lesion was excised using 940 nm diode laser and histopathological examination revealed hypercellularity and prominent dystrophic calcification, confirming it to be Peripheral Ossifying Fibroma. There was no recurrence after 18 months follow up.
Conclusion:
Paediatric dentists should be aware of possible outcomes of natal and neonatal teeth extraction and histopathological features of soft tissue lesions in neonates and infants. This report also highlights that 940 nm diode laser can be safely used for minor oral soft tissue surgeries in neonates and infants.
