Abstract
Peripheral ossifying fibroma “a gingival nodule which is composed of a cellular fibroblastic connective tissue stroma which is associated with the formation of randomly dispersed foci of mineralised products, which consists of bone, cementum-like tissue, or a dystrophic calcification. The lesion is considered part of an ossifying fibroma, but that is usually considered to be a gnathic tumor. Pyogenic granuloma (also known as a Eruptive hemangioma, Granulation tissue-type hemangioma, Granuloma gravidarum, Lobular capillary hemangioma, Pregnancy tumor” and “Tumor of pregnancy” is a vascular lesion that occurs on both mucosa and skin, and appears as an overgrowth of tissue due to irritation, physical trauma or hormonal factors. It is often found to involve the gums, the skin and nasal septum, and has also been found far from the head such as in the thigh. This article highlights a peculiar case presentation about both one lesion mimicked the other and how the diagnosis was finally made by ruling out one lesion.
Highlights
Fibrous growths of the oral soft tissues are fairly common and include a diverse group of reactive and neoplastic conditions
Pyogenic granuloma is a solitary, slow growing, sessile nodular mass most commonly seen on maxillary anterior gingival with female predilection
Peripheral ossifying fibroma is typically a solitary, slow growing, sessile or pedunculated nodular reactive gingival lesion that is believed to arise from the cells of periodontal ligament and periosteum
Summary
Fibrous growths of the oral soft tissues are fairly common and include a diverse group of reactive and neoplastic conditions. One such growth is pyogenic granuloma & peripheral ossifying fibroma. Peripheral ossifying fibroma is typically a solitary, slow growing, sessile or pedunculated nodular reactive gingival lesion that is believed to arise from the cells of periodontal ligament and periosteum. It occurs in the second decade of life and more common in females. No history of similar growth occurring elsewhere in the oral cavity
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