Recurrent Gingival Lesions in a Pediatric Patient

Area of Science:

• Oral Pathology
• Pediatric Dentistry
• Surgical Oncology

Background:

• Peripheral ossifying fibroma (POF) is a benign gingival tumor typically presenting as a solitary lesion.
• POF commonly affects young adults and is more prevalent in females.
• Previous literature predominantly describes solitary or localized recurrence patterns.

Observation:

• A 13-year-old female presented with numerous, recurrent gingival masses despite two prior surgical resections.
• The lesions progressively obscured dentition, leading to significant functional impairments in speech, eating, and oral hygiene.
• Histopathological examination confirmed the diagnosis of peripheral ossifying fibroma.

Findings:

• This case represents an atypical, multicentric manifestation of peripheral ossifying fibroma.
• Rapid recurrence (within 4 months) after the second resection suggests aggressive or widespread disease.
• The extensive nature of the lesions posed a significant clinical challenge.

Implications:

• This case underscores the importance of considering peripheral ossifying fibroma in the differential diagnosis of multicentric gingival masses, particularly in pediatric patients.
• Atypical presentations necessitate a thorough diagnostic workup and potentially tailored treatment strategies.
• Further research is warranted to understand the etiology and optimal management of multicentric peripheral ossifying fibroma.