Abstract
Peripheral ossifying fibroma (POF) is an inflammatory reactive hyperplasia of gingiva. It occurs frequently in anterior maxilla with a higher predilection for females. It presents as sessile mucosal nodule and more common in second decade of life. It has been suggested as a separate clinical entity rather than a transitional form of pyogenic granuloma. Diagnosis is often challenging as the clinical presentation of POF mimicks other reactive lesions of gingiva. Due to its high recurrence rate of 8.9% to 20%, prompt diagnosis is important. Here, we report a case of 15 year old girl with pedunculated lesion in gingival and clinically diagnosed as traumatic fibroma.
Highlights
Peripheral ossifying fibroma is a focal, non-neoplastic lesion and usually classified as a reactive hyperplasia of gingiva
The surface is smooth or sometimes with ulceration and the colour appears as pink or red. 2,3 Clinically, it is difficult to distinguish from other reactive lesion of gingiva such as pyogenic granuloma, giant cell fibroma or peripheral giant cell granuloma.[3]
1 In that, Peripheral ossifying fibroma (POF) is one of the non neoplastic reactive lesion which constitutes about 10-18% of all gingival growth. 2 POF was first reported by Stepherd in the year 1844 as “alveolar exostosis”
Summary
Peripheral ossifying fibroma is a focal, non-neoplastic lesion and usually classified as a reactive hyperplasia of gingiva. It is derived from the cells of periodontal membrane. 2 Clinically it presents as a painless solitary mass. Females are affected more commonly than males and may arise as a result of trauma or irritation caused by ill fitting dentures, plaques or calculus.[1] Hormonal influence has been considered as etiopathogeneis. It is slow growing mass which may be sessile or pedunculated. 2,3 Clinically, it is difficult to distinguish from other reactive lesion of gingiva such as pyogenic granuloma, giant cell fibroma or peripheral giant cell granuloma.[3]. Histopathological confirmation is needed because POF has high recurrence rate
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