Abstract
Peripheral ossifying fibroma, first reported by Shepard in 1844 as alveolar exostosis, is a non-neoplastic reactive lesion arising as a focal exophytic mass exclusively on the gingiva originating from the interdental area and shows no bone involvement in most cases. The lesion shows propensity for maxilla and incisor-cuspid region with female predilection. The etiological factors include local factors causing gingival irritation like calculus, plaque, ill fitting dentures or orthodontic appliances; and hormonal influence, initiate exhuberant connective tissue response. The lesion shows high recurrence potential , necessitating proper identification, treatment and effective long-term recall protocol. This case report presents a relatively rare case of juvenile peripheral ossifying fibroma in relation to mandibular central & lateral incisors in an adolescent female child followed for upto 1 year
 after surgical excision
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