Peripheral Odontogenic Fibroma in a Child

Peripheral odontogenic fibroma (POdF) is a rare and benign mesenchymal odontogenic tumor that stands out as a distinctive entity. It is predominantly found in the gingiva and can present as a diagnostic challenging lesion due to its potential resem- blance to reactive oral lesions. The purpose of this report is to describe a case of a POdF in a 10-year-old child and highlight the importance of recognizing this lesion in the pediatric population. This report also explores the essential diagnostic differentials that clinicians should consider when examining a palpable soft tissue nodule with a firm consistency. Radiographically, well-defined small radiopacities were visible within the lesion, which was indicative of calcified structures. A complete surgical excision was done and histopathological analysis was diagnostic of POdF. The presence of calcifications exhibiting an osteoid/cementoid appearance was confirmed within the lesion. There were no signs of recurrence noted during the 16-month postoperative follow-up period. This case underscores the significance of PodF, which may be included in the differential diagnosis of gingival lesions in pediatric patients.