Peripheral Cemento-ossifying Fibroma Research Articles

Peripheral Cementoossifying Fibroma - A Case Report and Review

Peripheral cemento-ossifying fibroma is an unusual, localized reactive, benign lesion of the oral cavity that shows various degrees of fibrous maturation and calcification in the histopathology. The lesion is often misdiagnosed, hence appropriate radiographs and histopathological examination are crucial for its correct diagnosis and management. The lesion has a high recurrence rate. The present report highlights a case of peripheral cement-ossifying fibroma in a 24-year-old female patient who was surgically excised. The growth, however, recurred after 4 months which was then managed by scalpel excision as well as aggressive curettage and root planing.

Management of Peripheral Cemento-Ossifying Fibroma Associated With Maxillary Anterior Teeth: A Case Report

Management of Peripheral Cemento-Ossifying Fibroma Associated With Maxillary Anterior Teeth: A Case Report

Conventional surgical excision for the treatment of Peripheral Cemento-Ossifying Fibroma Posterior Maxilla: Case report

Background: Peripheral Cemento-Ossifying Fibroma (PCOF) usually presents as epulis, represents 3.1% of all oral tumors and 9.6% of gingival lesions, is difficult to distinguish clinically and radiographically, requires anatomic histopathological confirmation, peaking in the 2nd and 3rd decades, high recurrence 8-20%. Objective: To report the case management of Peripheral Cemento-Ossifying Fibroma in posterior maxilla with conventional surgery excision surgery, curettage, extraction, and ostectomy. Case: A 42-year-old woman came to the Oral Surgery Clinic at RSUD Haji East Java Province Hospital, complaining of a lump in left maxillary gingiva since 2 years ago, with discomfort, often bitten, initially small, gradually enlarged and never shrinking, does not bleed easily, no lumps elsewhere, with sharp remnants of roots, loose teeth, and a history of vertigo. Discussion: The results of FNAB is Fibromatous Epulis, panoramic radiographic view of the loose periodontal ligament of tooth 27, radiolucent mixed radiopaque clearly demarcated in the distal portion of 27, no visible image of tooth 28. Calculus was cleaned before surgery. Treatments with conventional surgery were excision using a scalpel, curettage, ostectomy, and tooth extraction 27, 38. Histopathological results of postoperative anatomy showed bone trabeculae and “cementum like” tissue in accordance with cemento-ossifying fibroma. The patient was evaluated within 6 months, with no recurrence. Results: Treatment of peripheral cemento-ossifying fibroma with conventional surgery with excision, curettage, ostectomy, and extraction of the causative tooth was successful.

Conventional surgical excision for the treatment of Peripheral Cemento-Ossifying Fibroma Posterior Maxilla: Case report

Conventional surgical excision for the treatment of Peripheral Cemento-Ossifying Fibroma Posterior Maxilla: Case report

PERIPHERAL CEMENTO-OSSIFYING FIBROMA: CASE REPORT

Peripheral cemento-ossifying fibroma (PCOF) is a gingival growth in reaction to aggressive agents, clinically similar to pyogenic granuloma (PG). The aim of this work is to report a case of PCOF. A 25-year-old female patient sought care reporting recurrence of "gum mass" that had been surgically removed 4 months earlier. Clinically, there was reddish sessile nodule with hemorrhagic aspect in buccal gingiva between teeth 14 and 15, for which diagnostic hypothesis was PG. Lesion was surgically removed. Histopathologic analysis revealed fragments of oral mucosa showing nonneoplastic lesions with fibroblast proliferation, collagen deposition, and calcified material with osteoid and cementoid aspect, epithelium showed exocytosis and granulation tissue with lymphplasmocytic infiltrate. Diagnosis was established as PCOF. The 24-month follow-up revealed absence of signs and symptoms. In conclusion, due to clinical similarity of PCOF and PG, histopathologic exam was fundamental for the correct lesion diagnosis.

Peripheral cemento-ossifying fibroma

Peripheral cemento-ossifying fibroma

PERIPHERAL CEMENTO-OSSIFYING FIBROMA – A CASE REPORT

Peripheral cemento-ossifying fibroma is a gingival overgrowth that occurs most commonly on the gingiva. It is a slow-growing reactive lesion. It is a benign tumor that grows to a considerable size and leads to pathologic migration of the teeth at later stages. It most commonly occurs following a gingival irritation or trauma. These lesions are said to arise from the PDL fibers excision of these lesions along with the periosteum is very important to avoid recurrence. The recurrence rate of peripheral cemento-ossifying fibroma has been reported to be 8–20%, so a close postoperative follow-up is required. Here, we are presenting two case of peripheral cemento-ossifying fibroma in the mandible.

A firm mass of the maxillary gingiva

A firm mass of the maxillary gingiva

Peripheral cemento-ossifying fibroma associated with TUBEROUS SCLEROSIS

Peripheral cemento-ossifying fibroma associated with TUBEROUS SCLEROSIS

Clinical and histopathological study of four diverse cases of peripheral ossifying fibroma: A case series

Peripheral ossifying fibroma (POF) is an inflammatory reactive hyperplasia of gingiva. It presents as a diverse lesion with respect to the size, site, gender, age of incidence, clinical appearance, histological, and radiographic presentations. Here, we present a case series of four cases of POF. All the four cases show the clinical, histological, and radiographic diversity of POF posing a diagnostic dilemma. Local excisional biopsy was performed in all the four cases, and the specimens were subjected to histopathological examination which revealed Case 1 to be peripheral cemento-ossifying fibroma, whereas, Case 2, 3, and 4 came out to be POF. Clinically, it becomes difficult to differentiate between the various reactive lesions of the gingiva. This emphasizes upon the role of biopsy for all such lesions. All the local etiological factors should be completely removed, and patients must be put on regular follow-up for evaluation of any recurrences.

Peripheral Cemento-Ossifying Fibroma in an Adolescent: A Case Report

Peripheral Cemento-Ossifying Fibroma in an Adolescent: A Case Report

Peripheral cemento-ossifying fibroma – A case report

Peripheral cemento-ossifying fibroma – A case report

Peripheral Cemento-ossifying Fibroma

Localised gingival overgrowth is commonly encountered in our practice. They can be histologically different such as the peripheral giant cell granuloma, giant cell fibroma, pyogenic granuloma or fibroma. A diagnosis based only on the clinical feature is difficult to make because of their similarity in clinical presentation with other gingival overgrowths. Therefore, histopathological examination is mandatory for making an accurate diagnosis that will ultimately help us to treat the underlying disease. This is a case report of Peripheral cemento-ossifying fibroma, which is a slow progressing and asymptomatic gingival growth until it causes noticeable deformity.

Peripheral Cemento-Ossifying Fibroma with Uncommon Clinical Presentation: A Case Report

Peripheral cemento-ossifying fibroma (PCOF) is a reactive gingival over growth, occurring frequently in the maxillary anterior region of teenage and young females. Peripheral cemento-ossifying fibroma (PCOF) is supposed to be originating from periosteum and/or periodontal ligament. A large number of factors have been implicated in the pathogenesis of PCOF, which includes trauma, local irritation, calculus and hormonal disturbances. The definitive diagnosis of PCOF is based upon its clinical, radiological and histological features. Because of the high recurrence rate (8-20%) of PCOF, a close post-operative follow-up is required. Herewith, we are presenting a case of PCOF in 24-year old female patient at an uncommon location.

Peripheral Cemento-Ossifying Fibroma with Uncommon Clinical Presentation: A Case Report

Peripheral cemento-ossifying fibroma (PCOF) is a reactive gingival over growth, occurring frequently in the maxillary anterior region of teenage and young females. Peripheral cemento-ossifying fibroma (PCOF) is supposed to be originating from periosteum and/or periodontal ligament. A large number of factors have been implicated in the pathogenesis of PCOF, which includes trauma, local irritation, calculus and hormonal disturbances. The definitive diagnosis of PCOF is based upon its clinical, radiological and histological features. Because of the high recurrence rate (8-20%) of PCOF, a close post-operative follow-up is required. Herewith, we are presenting a case of PCOF in 24-year old female patient at an uncommon location.

Peripheral Cemento-Ossifying Fibroma of Maxilla

Peripheral Cemento-Ossifying Fibroma of Maxilla

Peripheral Cemento-Ossifying Fibroma

Cemento-ossifying fibroma is a benign, fibro-osseous tumor belonging to the same category as fibrous dysplasia and cemento-osseous dysplasia. It is a reactive gingival overgrowth occurring frequently in the mandibular premolar-molar region. A patient aged 15 years old with the chief complaint of a swelling in relation to 12 and 13 region is presented in this paper. The lesion was asymptomatic, pinkish and pedunculated. Histologically, it showed a cellular, fibrous connective tissue stroma with calcifications. The lesion was histologically similar to peripheral ossifying fibroma and complete surgical removal of the lesion was carried out under local anesthesia

Peripheral Cementifying Fibroma: A Case Report

The peripheral cementifying fibroma (PCF) is a reactive gingival overgrowth occurring frequently in the maxillary anterior region in teenagers and young adults. We report a case of peripheral cementifying fibroma occurring on the buccal gingiva in relation to the mandibular left canine & first premolar region in a 27 year old female patient. Keywords: Peripheral Cementifying Fibroma, Cementum-like calcifications, Peripheral cemento-ossifying fibroma

Peripheral Cement Ossifying Fibroma: A Case Report and Review of Literature

Peripheral cemento-ossifying fibroma is frequently occurring over growth in anterior maxillae and is a reactive in nature. It should be excised as soon as possible as it is a slow-growing benign tumor which may lead to pathologic migration and other periodontal problems. It comprises about 9% of all gingival overgrowths. It is commonly seen in second and third decade of life with female prediction. It has a recurrence rate of 8% to 20%, so a close postoperative follow-up is also required. Herein, we are reporting a case of peripheral cementoossifying fibroma in 56 year old female patient. Excisional biopsy was carried out and diagnosis was done histopathologically.

Peripheral Cemento-ossifying Fibroma -treatment and Follow Up of a Recurrent Case

Peripheral Cemento-ossifying Fibroma -treatment and Follow Up of a Recurrent Case