Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study

Introduction: Oral reactive lesions are relatively common. Collagen is the basic component of such overgrowths that could be fibrous or inflammatory. Hence, understanding the type, nature, and distribution of collagen fibers can aid in our knowledge and better management of these lesions. Materials...

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Main Authors: A. P. Shirona, Usha Hegde, H. S. Sreeshyla
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Orofacial Sciences
Subjects:
Online Access:http://www.jofs.in/article.asp?issn=0975-8844;year=2021;volume=13;issue=1;spage=47;epage=53;aulast=Shirona
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author A. P. Shirona
Usha Hegde
H. S. Sreeshyla
author_facet A. P. Shirona
Usha Hegde
H. S. Sreeshyla
author_sort A. P. Shirona
collection DOAJ
description Introduction: Oral reactive lesions are relatively common. Collagen is the basic component of such overgrowths that could be fibrous or inflammatory. Hence, understanding the type, nature, and distribution of collagen fibers can aid in our knowledge and better management of these lesions. Materials and Methods: Ten paraffin blocks of each of the following lesions − giant-cell granuloma (L1), inflammatory fibrous hyperplasia (L2), pyogenic granuloma (L3), fibroma (L4), and peripheral ossifying fibroma (L5) − were retrieved from the archives. They were analyzed for their collagen birefringence property under polarized microscopy after picrosirius red stain. The demographic details of all the cases were recorded and evaluated. Results: In our study, giant-cell granulomas were commonly observed between third and seventh decades of life, inflammatory fibrous hyperplasias between second and fifth decades of life, yogenic granulomas in sixth decade, fibromas in fifth and sixth decades, and peripheral ossifying fibromas in second and fourth decade of life. All the lesions were predominant in females and commonly observed on gingiva. L5 lesions showed more areas of green birefringence followed by L1, L2, and L3 groups of lesions showed more of red birefringence than other lesions. Mixed birefringence of orange-red and green-yellow was almost same in all the lesions. All these findings were significant statistically. Conclusion: A plausible conclusion that the lesions with mature red fibers have better prognosis than the lesions with immature green fibers, in reactive oral lesions could be drawn.
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spelling doaj.art-0cdd54db3a894fb6990b814838a68fe42022-12-21T21:28:37ZengWolters Kluwer Medknow PublicationsJournal of Orofacial Sciences0975-88442021-01-01131475310.4103/jofs.jofs_84_21Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic StudyA. P. ShironaUsha HegdeH. S. SreeshylaIntroduction: Oral reactive lesions are relatively common. Collagen is the basic component of such overgrowths that could be fibrous or inflammatory. Hence, understanding the type, nature, and distribution of collagen fibers can aid in our knowledge and better management of these lesions. Materials and Methods: Ten paraffin blocks of each of the following lesions − giant-cell granuloma (L1), inflammatory fibrous hyperplasia (L2), pyogenic granuloma (L3), fibroma (L4), and peripheral ossifying fibroma (L5) − were retrieved from the archives. They were analyzed for their collagen birefringence property under polarized microscopy after picrosirius red stain. The demographic details of all the cases were recorded and evaluated. Results: In our study, giant-cell granulomas were commonly observed between third and seventh decades of life, inflammatory fibrous hyperplasias between second and fifth decades of life, yogenic granulomas in sixth decade, fibromas in fifth and sixth decades, and peripheral ossifying fibromas in second and fourth decade of life. All the lesions were predominant in females and commonly observed on gingiva. L5 lesions showed more areas of green birefringence followed by L1, L2, and L3 groups of lesions showed more of red birefringence than other lesions. Mixed birefringence of orange-red and green-yellow was almost same in all the lesions. All these findings were significant statistically. Conclusion: A plausible conclusion that the lesions with mature red fibers have better prognosis than the lesions with immature green fibers, in reactive oral lesions could be drawn.http://www.jofs.in/article.asp?issn=0975-8844;year=2021;volume=13;issue=1;spage=47;epage=53;aulast=Shironafibromainflammatory fibrous hyperplasiaoral reactive lesionsperipheral giant-cell granulomaperipheral ossifying fibromapicrosirius red stainpolarized microscopypyogenic granuloma
spellingShingle A. P. Shirona
Usha Hegde
H. S. Sreeshyla
Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study
Journal of Orofacial Sciences
fibroma
inflammatory fibrous hyperplasia
oral reactive lesions
peripheral giant-cell granuloma
peripheral ossifying fibroma
picrosirius red stain
polarized microscopy
pyogenic granuloma
title Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study
title_full Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study
title_fullStr Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study
title_full_unstemmed Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study
title_short Evaluation of Collagen Birefringence in Oral Reactive Lesions Using Picrosirius Red Stain Under Polarized Light Microscopy: An Observational Microscopic Study
title_sort evaluation of collagen birefringence in oral reactive lesions using picrosirius red stain under polarized light microscopy an observational microscopic study
topic fibroma
inflammatory fibrous hyperplasia
oral reactive lesions
peripheral giant-cell granuloma
peripheral ossifying fibroma
picrosirius red stain
polarized microscopy
pyogenic granuloma
url http://www.jofs.in/article.asp?issn=0975-8844;year=2021;volume=13;issue=1;spage=47;epage=53;aulast=Shirona
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