Abstract
The gingiva is often the site of localized growths that are considered reactive in nature rather than neoplastic. Many of them are difficult to identify clinically and hence are identified as specific entities based on their typical and steady histomorphology. Peripheral ossifying fibroma is one of those reactive lesions. Though it has been described with different synonyms and is believed to originate in the periodontal membrane comprising about 9% of all gingival growths. The size of the lesion is usually small, located mostly in the anterior maxillary gingiva and have a greater predilection for females. It occurs mostly in the second decade of life. We present a clinical report of a 34-year-old woman with a large peripheral ossifying fibroma confined in the posterior maxillary region that shows significant growth and cause occlusion interference.
Keywords: Gingival growth, Peripheral ossifying fibroma, peripheral cemento-ossifying fibroma, fibrous epulis, calcifying fibroblastic granuloma.
References
- Eversole LR. Benign tumours of the oral cavity. In: Greenberg MS, Glick M, editors. Burkett's Oral Medicine – Diagnosis – Treatment. 1h ed. India: BC. Decker Inc., Elsevier; 2003. pp. 141–2.
- Bhaskar NS, Jacoway JR. Peripheral Fibroma and Peripheral Fibroma with Calcification: Report of 376 Cases. JADA. 1966;73:1312–20.
- Walters JD, Will JK, Hatfield RD, Cacchillo DA, Raabe DA. Excision and Repair of the Peripheral Ossifying Fibroma: A Report of 3 Cases. J Periodontal. 2001;72:939–44.
- Buchner A, Hansen LS. The Histomorphologic Spectrum of Peripheral Ossifying Fibroma. Oral Surg Oral Med Oral Pathol. 1987;63:452–6
- Gardner DG. The peripheral odontogenic fibroma: An attempt at clarification. Oral Surg. 1982;54:40–8.
- Poon CK, Kwan PC, Chao SY. Giant peripheral ossifying fibroma of the maxilla: report of a case. J Oral Maxillofac Surg. 1995;53:695–8.
- Kenney JN, Kaugars GE, Abbey LM. Comparision between the peripheral ossifying fibroma and peripheral odontogenic fibroma. J Oral Maxillofac Surg. 1989;47:378–82.
- Baumgartner JC, Stanley HR, Salomone JL. Zebra Hunt. J Endod. 1991;17:181–5.
- Mesquita RA, Orsini SC, Sousa M, de Araújo NS. Proliferative activity in peripheral ossifying fibroma and ossifying fibroma. J Oral Pathol Med. 1998;27:64–7.
- Brannon RB, Cuisia ZE. Peripheral Ossifying Fibroma-A Clinical Evaluation of 134 Pediatric Cases. Pediatr Dent. 2001;23:245–8.
- Patel MF, Langdon JD, Rapidis AD. Ossifying Fibroma-One Disease or Six? An Analysis of 39 Fibro-Osseous Lesions of the Jaws. Br J Oral Surg. 1976;14:1–11
Corresponding Author
Dr Anita R. Pal
Consultant, Oral & Maxillofacial Surgeon, 32 Pearls Dental Care & Cure Multi-speciality Hospital,
Navi Mumbai, Maharashtra-400708