MANAGEMENT OF LONG-TERM PERIPHERAL OSSIFYING FIBROMA IN ESTHETIC AREAS: SURGICAL AND PERIODONTAL STRATEGIES

Abstract

The peripheral ossifying fibroma (POF) is a non-neoplastic reactive proliferative lesion with slow growth and often unclear etiology, normally associated with local irritants. This study described a case of a 64-year-old woman presenting an asymptomatic anterosuperior gingiva lesion, with a 21-year progression. The patient reported previous history of orthodontic treatment in the last five years, with no response. In the intraoral exam, there was an exophytic lesion in the anterior gingiva of the maxilla of approximately 2 cm in its greatest extent, which was non-tender and firm in consistency. Clinical examination, panoramic X-ray and cone-beam computed tomography suggested a reactive proliferative lesion. An excisional biopsy, associated with local periodontal treatment, was performed, and the material was submitted to histopathologic analysis, confirming the diagnosis of POF. After 12 months of follow-up, no recurrence and complaints were observed, emphasizing the benign features and the importance of surgical and periodontal treatment. The peripheral ossifying fibroma (POF) is a non-neoplastic reactive proliferative lesion with slow growth and often unclear etiology, normally associated with local irritants. This study described a case of a 64-year-old woman presenting an asymptomatic anterosuperior gingiva lesion, with a 21-year progression. The patient reported previous history of orthodontic treatment in the last five years, with no response. In the intraoral exam, there was an exophytic lesion in the anterior gingiva of the maxilla of approximately 2 cm in its greatest extent, which was non-tender and firm in consistency. Clinical examination, panoramic X-ray and cone-beam computed tomography suggested a reactive proliferative lesion. An excisional biopsy, associated with local periodontal treatment, was performed, and the material was submitted to histopathologic analysis, confirming the diagnosis of POF. After 12 months of follow-up, no recurrence and complaints were observed, emphasizing the benign features and the importance of surgical and periodontal treatment.