Volume 2 - Issue 1 (Nov-Jan) - IJMD

Peripheral Ossifying Fibroma - Report of a casecase reportG Sujatha*, G Sivakumar**, J Muruganandhan*, J Selvakumar † , M Ramasamy ‡AbstractPeripheral ossifying fibroma is a gingival growth commonly seen in the maxillay anterior region occurring mainly due tolow-grade irritations. We report a case of a 20-year-old male patient who reported with a slow-growing gingival growth. Theclinical presentation, radiological and histological features along with the etiopathogenesis is been discussed.Key words: Peripheral ossifying fibromaPeripheral ossifying fibroma (POF) is anon-neoplastic gingival growth which isrelatively common. Among the two types centraland peripheral, the peripheral occurs only on the softtissue over the alveolar bone and is a reactive lesion. 1This reactive lesion usually occurs in response tolow-grade irritations such as trauma, plaque, calculus,microorganisms, masticatory forces, ill fitting denturesand poor quality restorations. 2POF appears as red to pink nodular mass that is eitherpedunculated or sessile with a surface that is usuallyulcerated arising from the interdental papilla. 3 Mostlesions are about 1.5 cm in diameter though somereach the size of about 6 cm in diameter and thediagnosis is based on clinical and histopathologicalexamination. 4 Histologically, they appear as a mass ofnonencapsulated mass of celluar fibrous connectivetissue covered by stratified squamous epithelium whichmay be ulcerated and with a areas of mineralizationvarying between cementum like or bone like ordystrophic calcifications. 5*Senior Lecturer, Dept. of Oral and Maxillofacial Pathology** Professor and Head, Dept. of Oral and Maxillofacial Pathology†Reader, Dept. of Periodontics‡Reader, Dept. of OrthodonticsSri Venkateswara Dental College and HospitalAddress for correspondenceDr G SujathaSenior LecturerDept. of Oral and Maxillofacial PathologySri Venkateswara Dental College and HospitalOff OMR Road, Near Navalur- Thalambur, ChennaiE-mail: gsuja@redifmail.comTreatment includes surgical removal of the lesionincluding the periosteum which reduces the highrecurrence rate. 6 This article presents a clinical case ofPOF.Case ReportA 20-year-old male patient reported to a privateclinic with a growth in the lower anterior regionmeasuring about 3 × 3cm for the past two months.History revealed that the patient had an irritation inthe same area eight months back and had undergonescaling. After scaling the growth had increased in sizewith mild pain.On examination, a reddish pink pedunculated growthwhich was firm in consistency was present in themarginal gingival of lower anteriors extending upto1 mm below the occlusal plane. Treatment includedcomplete excision of the growth and removal ofirritating factors such as plaque and calculus. Thepatient was reviewed after 10 days and healing wasuneventful. The patient was educated about his oralhygiene and recalled after three months. The sectionedtissue was sent for histopathological examination.A differential diagnosis of pyogenic granuloma andirritation fibroma was given.The histopathological sections revealed a highly cellularconnective tissue with numerous plump fibroblastsintermingled through out the vascular fibrous stroma.Calcifications were in the form of globules resemblingcementum like material. This was seen with thepresence of overlying stratified squamous epithelium.The histopathological diagnosis was given as POF. Thepatient presented for follow-up after three months andthere was no evidence of recurrence.Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November 2011 to January 2012415