Abstract

A 40-year-old female patient reported an asymptomatic nodule in the gum, with more than 1 year of evolution and bleeding during brushing. There were no changes in the extraoral clinical examination. Intraoral clinical examination revealed a sessile nodule of hardened consistency, covered by intact mucosa, in the buccal gingiva and alveolar ridge close to the right upper molar teeth, measuring approximately 3 cm. Tooth 17 was displaced to the palatal region. Periapical and panoramic radiographs showed tooth 18 erupted and displaced distally, crowns of teeth 17 and 18 diverging, and the presence of diffuse radiopacity inside the lesion. Excisional biopsy and scraping of the associated teeth were performed. Histopathologic examination showed cellularized fibrous connective tissue with foci of mineralization. The diagnosis of peripheral ossifying fibroma was established. After 4 months of follow-up, no recurrences were detected, and the patient was referred for rehabilitation prosthetic treatment.

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