Peripheral ossifying fibroma: A case report and brief review

Gingival growths are one of the most frequently encountered lesions in the oral cavity. Most of these lesions are innocuous, but some do have malignant potential. Different lesions with similar clinical presentations make it difficult to arrive at a correct diagnosis. One of the infrequently occurri...

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Main Authors: Meyyappan Arunachalam, Thalaimalai Saravanan, K R Shakila, Noorulla Anisa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:SRM Journal of Research in Dental Sciences
Subjects:
Online Access:http://www.srmjrds.in/article.asp?issn=0976-433X;year=2017;volume=8;issue=1;spage=41;epage=45;aulast=Arunachalam
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author Meyyappan Arunachalam
Thalaimalai Saravanan
K R Shakila
Noorulla Anisa
author_facet Meyyappan Arunachalam
Thalaimalai Saravanan
K R Shakila
Noorulla Anisa
author_sort Meyyappan Arunachalam
collection DOAJ
description Gingival growths are one of the most frequently encountered lesions in the oral cavity. Most of these lesions are innocuous, but some do have malignant potential. Different lesions with similar clinical presentations make it difficult to arrive at a correct diagnosis. One of the infrequently occurring gingival lesions is peripheral ossifying fibroma (POF) which is a reactive gingival overgrowth occurring frequently in the anterior maxilla. Lesions with histological features similar to POF have been given various names, adding to the confusion. Exuberant connective tissue response to chronic irritation due to plaque, calculus, restorative, or orthodontic appliances are thought to be responsible for the initiation of the lesion. Moreover, persistent irritation can cause metaplasia of the mesenchymal cells resulting in calcifications. The diagnosis is often challenging as the lesion masquerade as other reactive lesions of gingiva. This article describes a case of POF in a 29-year-old male in an unusual location with rare involvement of bone. Clinical, radiographic, and histologic characteristics are discussed and recommendations regarding differential diagnosis, treatments are provided.
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spelling doaj.art-0d14fc4f91134250952b95e8043ac3122022-12-22T03:54:31ZengWolters Kluwer Medknow PublicationsSRM Journal of Research in Dental Sciences2772-52432772-52512017-01-0181414510.4103/0976-433X.203485Peripheral ossifying fibroma: A case report and brief reviewMeyyappan ArunachalamThalaimalai SaravananK R ShakilaNoorulla AnisaGingival growths are one of the most frequently encountered lesions in the oral cavity. Most of these lesions are innocuous, but some do have malignant potential. Different lesions with similar clinical presentations make it difficult to arrive at a correct diagnosis. One of the infrequently occurring gingival lesions is peripheral ossifying fibroma (POF) which is a reactive gingival overgrowth occurring frequently in the anterior maxilla. Lesions with histological features similar to POF have been given various names, adding to the confusion. Exuberant connective tissue response to chronic irritation due to plaque, calculus, restorative, or orthodontic appliances are thought to be responsible for the initiation of the lesion. Moreover, persistent irritation can cause metaplasia of the mesenchymal cells resulting in calcifications. The diagnosis is often challenging as the lesion masquerade as other reactive lesions of gingiva. This article describes a case of POF in a 29-year-old male in an unusual location with rare involvement of bone. Clinical, radiographic, and histologic characteristics are discussed and recommendations regarding differential diagnosis, treatments are provided.http://www.srmjrds.in/article.asp?issn=0976-433X;year=2017;volume=8;issue=1;spage=41;epage=45;aulast=Arunachalamgingivaossifying fibromaperipheral ossifying fibroma
spellingShingle Meyyappan Arunachalam
Thalaimalai Saravanan
K R Shakila
Noorulla Anisa
Peripheral ossifying fibroma: A case report and brief review
SRM Journal of Research in Dental Sciences
gingiva
ossifying fibroma
peripheral ossifying fibroma
title Peripheral ossifying fibroma: A case report and brief review
title_full Peripheral ossifying fibroma: A case report and brief review
title_fullStr Peripheral ossifying fibroma: A case report and brief review
title_full_unstemmed Peripheral ossifying fibroma: A case report and brief review
title_short Peripheral ossifying fibroma: A case report and brief review
title_sort peripheral ossifying fibroma a case report and brief review
topic gingiva
ossifying fibroma
peripheral ossifying fibroma
url http://www.srmjrds.in/article.asp?issn=0976-433X;year=2017;volume=8;issue=1;spage=41;epage=45;aulast=Arunachalam
work_keys_str_mv AT meyyappanarunachalam peripheralossifyingfibromaacasereportandbriefreview
AT thalaimalaisaravanan peripheralossifyingfibromaacasereportandbriefreview
AT krshakila peripheralossifyingfibromaacasereportandbriefreview
AT noorullaanisa peripheralossifyingfibromaacasereportandbriefreview