Abstract
The gingiva is frequently the site of localised growths that are thought to be reactive rather than neoplastic. Many of these lesions are difficult to identify clinically and can only be identified as a distinct entity based on typical and consistent histomorphology. One such reactive lesion is peripheral ossifying fibroma. It has been described using various synonyms and is thought to arise from the periodontal ligament, which accounts for approximately 9% of all gingival growths. The lesion is typically small in size, located primarily in the anterior maxilla, with a higher predilection for females, and is more common in the second decade of life. A 11-year-old boy with a large peripheral ossifying fibroma in the anterior maxilla with significant growth and interference with occlusion is presented in this case report.
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