Peripheral Ossifying Fibroma in a Middle-aged Man: A Rare Occurrence
Jayaprasad Anekar
Department of Oral Medicine and Radiology, KVG Dental College and Hospital, Sullia, India.
R. K. Palguni *
Department of Oral Medicine and Radiology, KVG Dental College and Hospital, Sullia, India.
B. Jayalakshmi
Department of Oral Medicine and Radiology, KVG Dental College and Hospital, Sullia, India.
M. Thufailath
Department of Oral Medicine and Radiology, KVG Dental College and Hospital, Sullia, India.
M. Seema
Department of Oral Medicine and Radiology, KVG Dental College and Hospital, Sullia, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Peripheral ossifying fibroma (POF) is a relatively common reactive gingival lesion that presents diagnostic and management challenges due to its clinical similarity to other gingival proliferations and its tendency to recur.
A case of a 50-year-old male patient who presented with a pedunculated gingival growth in the mandibular anterior region. The lesion measured 3×3 cm and was located on the interdental gingiva between teeth 42 and 43. Clinical examination revealed a firm, non-tender, vascular growth with a corrugated surface. Excisional biopsy was performed, and histopathological examination confirmed the diagnosis of peripheral ossifying fibroma.
Conclusion: This case highlights the importance of histopathological examination in the definitive diagnosis of gingival proliferations. Despite its benign nature, POF requires complete excision and long-term follow-up due to its recurrence rate of 8-20%.
Keywords: Peripheral ossifying fibroma, gingival lesion, reactive lesion, excisional biopsy, recurrence