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Peripheral ossifying fibroma/ossifying fibrous epulis.
Dental Journal of Malaysia
|May 1, 1988
Summary
This case report details a rare gingival lesion that erodes bone and contains ossified tissue. Due to its potential for recurrence (7-20%), close patient follow-up is crucial.
Area of Science:
- Oral pathology
- Gingival lesions
- Reactive hyperplasia
Background:
- This report focuses on a specific reactive lesion exclusively found in the gingiva.
- The lesion presents a diagnostic challenge due to its histological similarity to other epulides but unique ossified tissue component.
- Confusing terminology surrounding this lesion impacts surgical understanding across different training backgrounds.
Observation:
- The lesion is characterized by a long duration and causes erosion of superficial bone.
- Histological examination reveals features similar to other epulides but includes ossified tissue.
- Literature review indicates a significant recurrence rate, ranging from 7% to 20%.
Findings:
- The gingival lesion exhibits bone erosion and contains ossified tissue.
- Histological analysis confirms its unique composition compared to typical epulides.
- A notable recurrence rate highlights the need for vigilant management.
Implications:
- Accurate terminology is essential for consistent diagnosis and treatment planning.
- The high recurrence rate mandates strict patient monitoring post-treatment.
- Understanding this lesion is critical for oral surgeons and periodontists to ensure optimal patient outcomes.