Guzmán CGE, Aldape BBC, González JMV, Villalobos RJJ, García JRA, Ramírez SA

Language: Spanish
References: 15
Page: 109-113
PDF size: 626.88 Kb.

ABSTRACT

Gingival enlargements are common, presenting as lesions such as fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma, and peripheral ossifying fibroma (POF). POF is a localized reactive lesion that originates in the gingiva, characterized by a single, firm, asymptomatic nodule with slow growth. Its color may range from red to purple, and it can bleed with a smooth or ulcerated surface. It typically develops from the interdental papilla, with a pedunculated or sessile base, and measures less than 2 cm. The objective of this article is to report a clinical case of POF, describing its clinical characteristics, treatment, and histopathological findings. The patient is a 31-year-old woman, whose intraoral examination revealed an oval, pedunculated, erythematous gingival enlargement, non-painful, firm to palpation, and approximately 18 × 13 mm, located in the interdental gingiva between the upper central incisors. The treatment consisted of a full-thickness excisional biopsy, which was sent for histopathological study. The surgical procedure involved raising a full-thickness flap to ensure the complete removal of the root calculus, eliminating any potential sources of irritation that could cause recurrence. Given the clinical variability of gingival lesions with similar appearance, histopathological analysis is always required to confirm the diagnosis of peripheral ossifying fibroma.

REFERENCES

1. Neville BW, Damm DD, Allen CM, Chi AC. Oral and maxillofacial pathology (5th ed.). Philadelphia, PA: Elsevier - Health Sciences Division; 2023.

2. Farquhar T, Maclellan J, Dyment H, Anderson RD. Peripheral ossifying fibroma: a case report. Prat Clin. 2008; 74 (9): 809-812.

3. Marcos JAG, Marcos MJG, Rodríguez SA, Rodrigo JC, Poblet E. Peripheral ossifying fibroma: a clinical and immunohistochemical study of four cases. J Oral Sci. 2010; 52 (1): 95-99.

4. Chaturvedi R, Gupta M, Jain A. Peripheral ossifying fibroma: a case report. Indian Journal of Dentistry. 2012; 3 (2): 89-93.

5. Moon WJ, Choi SY, Chung EC, Kwon KH, Chae SW. Peripheral ossifying fibroma in the oral cavity: CT and MR findings. Dentomaxillofac Radiol. 2007; 36 (3): 180-182.

6. Walters JD, Will JK, Hatfield RD, Cacchillo DA, Raabe DA. Excision and repair of the peripheral ossifying fibroma: a report of three cases. J Periodontol. 2001; 72 (7): 939-944.

7. Kumar SKS, Ram S, Jorgensen MG, Shuler CF, Sedghizadeh PP. Multicentric peripheral ossifying fibroma. J Oral Sci. 2006; 48 (4): 239-243.

8. Hall G. Fibro-osseous lesions of the head and neck. Diagn Histopatol. 2017; 23 (5): 200-210.

9. Yadav R, Gulati A. Peripheral ossifying fibroma: a case report. J Oral Sci. 2009; 51 (1): 151-154.

10. Gulati R, Khetarpal S, Ratre MS, Solanki M. Management of massive peripheral ossifying fibroma using diode laser. J Indian Soc Periodontol. 2019; 23 (2): 177-180. doi: 10.4103/jisp.jisp_431_18.

11. Mohiuddin K, Priya NS, Ravindra S, Murthy S. Peripheral ossifying fibroma. J Indian Soc Periodontol. 2013; 17 (4): 507-509. doi: 10.4103/0972-124X.118325.

12. Ashok S, Gupta AA, Ashok KP, Mhaske SA. Peripheral ossifying fibroma: a rare case affecting maxillary region. Indian J Dent. 2016; 7 (3): 141-143. doi: 10.4103/0975-962X.186701.

13. Buchner A, Hansen LS. The histomorphologic spectrum of peripheral ossifying fibroma. Oral Surg Oral Med Oral Pathol. 1987; 63 (4): 452-461.

14. Kale L, Khambete N, Sodhi S, Sonawane S. Peripheral ossifying fibroma: series of five cases. J Indian Soc Periodontol. 2014; 18 (4): 527-530. doi: 10.4103/0972-124X.138762.

15. Pal S, Hegde S, Ajila V. The varying clinical presentations of peripheral ossifying fibroma: a report of three cases. Rev Odonto Cienc. 2012; 27 (3): 351-355.