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Takagi R, Mori K, Koike T, Tsuyuguchi S, Kanai K, Watanabe Y, Okano M, Noguchi Y, Tanaka A, Kurihara K, Sato K, Ishizaki K, Hayashi Y, Imanishi Y. A giant peripheral ossifying fibroma of the maxilla with extreme difficulty in clinical differentiation from malignancy: a case report and review of the literature. J Med Case Rep 2024; 18:220. [PMID: 38702820 PMCID: PMC11069167 DOI: 10.1186/s13256-024-04529-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 04/02/2024] [Indexed: 05/06/2024] Open
Abstract
BACKGROUND Peripheral ossifying fibroma is a nonneoplastic inflammatory hyperplasia that originates in the periodontal ligament or periosteum in response to chronic mechanical irritation. Peripheral ossifying fibroma develops more commonly in young females as a solitary, slow-growing, exophytic nodular mass of the gingiva, no more than 2 cm in diameter. While various synonyms have been used to refer to peripheral ossifying fibroma, very similar names have also been applied to neoplastic diseases that are pathologically distinct from peripheral ossifying fibroma, causing considerable nomenclatural confusion. Herein, we report our experience with an unusual giant peripheral ossifying fibroma with a differential diagnostic challenge in distinguishing it from a malignancy. CASE PRESENTATION A 68-year-old Japanese male was referred to our department with a suspected gingival malignancy presenting with an elastic hard, pedunculated, exophytic mass 60 mm in diameter in the right maxillary gingiva. In addition to computed tomography showing extensive bone destruction in the right maxillary alveolus, positron emission tomography with computed tomography revealed fluorodeoxyglucose hyperaccumulation in the gingival lesion. Although these clinical findings were highly suggestive of malignancy, repeated preoperative biopsies showed no evidence of malignancy. Since even intraoperative frozen histological examination revealed no malignancy, surgical resection was performed in the form of partial maxillectomy for benign disease, followed by thorough curettage of the surrounding granulation tissue and alveolar bone. Histologically, the excised mass consisted primarily of a fibrous component with sparse proliferation of atypical fibroblast-like cells, partly comprising ossification, leading to a final diagnosis of peripheral ossifying fibroma. No relapse was observed at the 10-month follow-up. CONCLUSIONS The clinical presentation of giant peripheral ossifying fibromas can make the differential diagnosis from malignancy difficult. Proper diagnosis relies on recognition of the characteristic histopathology and identification of the underlying chronic mechanical stimuli, while successful treatment mandates complete excision of the lesion and optimization of oral hygiene. Complicated terminological issues associated with peripheral ossifying fibroma require appropriate interpretation and sufficient awareness of the disease names to avoid diagnostic confusion and provide optimal management.
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Affiliation(s)
- Ryo Takagi
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Kosei Mori
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Takashi Koike
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Sayumi Tsuyuguchi
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Kengo Kanai
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Yoshihiro Watanabe
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Mitsuhiro Okano
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Yoshihiro Noguchi
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Aya Tanaka
- Department of Oral Rehabilitation and Maxillofacial Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Kinue Kurihara
- Department of Oral Rehabilitation and Maxillofacial Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Kazumichi Sato
- Department of Oral Rehabilitation and Maxillofacial Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Ken Ishizaki
- Department of Oral Rehabilitation and Maxillofacial Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Yuichiro Hayashi
- Department of Pathology, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan
| | - Yorihisa Imanishi
- Department of Otorhinolaryngology-Head and Neck Surgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Narita, Japan.
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Recurrent Gingival Lesions in a Pediatric Patient. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2022; 10:e4382. [PMID: 35720203 PMCID: PMC9200379 DOI: 10.1097/gox.0000000000004382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 04/28/2022] [Indexed: 11/26/2022]
Abstract
We present the case of a 13-year-old girl who developed numerous gingival masses that recurred after two prior resections. Following the initial resection as a child, she reported that there was a period of resolution for several years before recurrence as a teenager. After the second resection, the masses recurred after 4 months. The lesions obscured the majority of her dentition and interfered with speech, eating, and oral hygiene. The patient underwent staged resection of the masses, and the wounds were allowed to heal by secondary intention. The histopathologic findings of the specimens were consistent with a diagnosis of peripheral ossifying fibroma, which is unusual as these are generally solitary lesions. We believe that this case brings attention to an underrecognized and atypical presentation of peripheral ossifying fibroma, and it should be considered in the differential diagnosis of multicentric gingival masses.
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Ekici Ö, Ay S, Açıkalın MF, Paşaoğlu Ö. Immunohistochemical evaluation of IL-1β, IL-6, TNF-α and IL-17 cytokine expression in peripheral giant cell granuloma and peripheral ossifying fibroma of the jaws. Arch Oral Biol 2022; 136:105385. [DOI: 10.1016/j.archoralbio.2022.105385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 01/16/2022] [Accepted: 02/19/2022] [Indexed: 11/02/2022]
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Karube T, Munakata K, Yamada Y, Yasui Y, Yajima S, Horie N, Kawana H, Mikami S, Nakagawa T, Asoda S. Giant peripheral ossifying fibroma with coincidental squamous cell carcinoma: a case report. J Med Case Rep 2021; 15:599. [PMID: 34922609 PMCID: PMC8684643 DOI: 10.1186/s13256-021-03187-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 11/08/2021] [Indexed: 11/10/2022] Open
Abstract
Background Peripheral ossifying fibroma is an inflammatory or reactive hyperplasia of the gingiva that is usually small. It is formed by hard tissue in fibrous tissue, and the name “neoplastic lesion” has tended to be used frequently in Europe and America. Clinically, peripheral ossifying fibromas are painless, solitary, exophytic, sessile, or pedunculated and more frequently found in females than in males. To the best of our knowledge, there have been no reports of malignant cases. We herein report the case of giant peripheral ossifying fibroma with squamous cell carcinoma. Case presentation The patient was an 83-year-old Japanese woman who visited our hospital with a gingival massive mass. She was referred to us for an examination and treatment because it was difficult to perform tracheal intubation for surgery of sigmoid colon cancer at another hospital. The mass measured 83 × 58 × 35 mm, and it protruded to the extra-oral region from the right maxillary premolar alveolar region. Panoramic X-ray revealed the shadow of the mass in the right maxillary premolar region, which included some hard tissue. Computed tomography showed scattering calcified images in the mass. Magnetic resonance imaging was not performed because she had vertebral artery clips and screws in her forehead. Given the above findings, we performed a biopsy under local anesthesia. However, we were unable to diagnose absolutely whether the dysplastic squamous epithelia were pseudocarcinomatous hyperplasia of the gingiva or well-differentiated squamous cell carcinoma. Therefore, tumor resection was performed under general anesthesia. The histopathological diagnosis was peripheral ossifying fibroma with coincidental squamous cell carcinoma. There have been no signs of recurrence during follow-up as of 2 years after surgery. Conclusions The etiology of giant peripheral ossifying fibroma with squamous cell carcinoma is still not definite. Therefore, careful observation is necessary. It needs to be examined by accumulation of more cases in the future. We herein report the case of giant peripheral ossifying fibroma coincidental squamous cell carcinoma.
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Khanna SS, Munshi MAI, Kaul RN, Srinivasan S. Quandary in Diagnosing Peripheral Ossifying Fibroma and Pyogenic Granuloma: A Case Report with Mini Review. J Maxillofac Oral Surg 2021; 20:439-442. [PMID: 34408371 DOI: 10.1007/s12663-020-01359-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Accepted: 03/28/2020] [Indexed: 11/30/2022] Open
Abstract
The soft tissues of the oral cavity are constantly subjected to microtrauma due to various factors. The gingiva in particular reacts to these beyond a point resulting in reactive hyperplastic lesions. Amongst these, the pyogenic granuloma and the peripheral ossifying fibroma are the most common clinical entities. Since they have a similar clinical presentation but diverse histomorphologic illustrations, it was advocated that there exists an interrelation between these two reactive fibrous overgrowths. Hence, this paper is intended to abolish the quandary in diagnosing peripheral ossifying fibroma and pyogenic granuloma.
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Affiliation(s)
- Shilpa Sunil Khanna
- Department of Oral and Maxillofacial Surgery Department, Sri Ramakrishna Dental College and Hospital, Coimbatore, India
| | - Meer Ahamed Ibrahim Munshi
- Department of Oral and Maxillofacial Surgery Department, Sri Ramakrishna Dental College and Hospital, Coimbatore, India
| | - Ronak Nazir Kaul
- Department of Oral and Maxillofacial Surgery Department, Sri Ramakrishna Dental College and Hospital, Coimbatore, India
| | - Sudhakar Srinivasan
- Department of Conservative Dentistry and Endodontics, Faculty of Medical Sciences and Research, Karpagam College, Coimbatore, India
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Large peripheral ossifying fibroma interfering with the normal functions of the oral cavity: A rare case report presentation and discussion. Int J Surg Case Rep 2021; 84:106127. [PMID: 34153696 PMCID: PMC8220559 DOI: 10.1016/j.ijscr.2021.106127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 06/14/2021] [Accepted: 06/17/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Peripheral ossifying fibroma (POF) is a common localized, reactive benign gingival growth. POF usually measuring <2 cm in diameter. CASE PRESENTATION We present a case of a 25-year-old, female with a large-sized peripheral ossifying fibroma in the oral cavity. The patient presented with an asymptomatic, slowly growing gingival mass in the lower left anterior area of the oral cavity which had been gradually increased in size for more than five years. CLINICAL DISCUSSION This case report shows that POF can grow and reach unusual dimensions that may, also, contribute to occlusal problems and lip incompetence. CONCLUSION POF should be excised completely to decrease the chance of lesion recurrence.
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Deletion of Menin in craniofacial osteogenic cells in mice elicits development of mandibular ossifying fibroma. Oncogene 2017; 37:616-626. [PMID: 28991228 DOI: 10.1038/onc.2017.364] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Revised: 08/23/2017] [Accepted: 08/25/2017] [Indexed: 12/11/2022]
Abstract
Ossifying fibroma (OF) is a rare benign tumor of the craniofacial bones that can reach considerable and disfiguring dimensions if left untreated. Although the clinicopathological characteristics of OF are well established, the underlying etiology has remained largely unknown. Our work indicates that Men1-a tumor suppressor gene responsible of Multiple endocrine neoplasia type 1-is critical for OF formation and shows that mice with targeted disruption of Men1 in osteoblasts (Men1Runx2Cre) develop multifocal OF in the mandible with a 100% penetrance. Using lineage-tracing analysis, we demonstrate that loss of Men1 arrests stromal osteoprogenitors in OF at the osterix-positive pre-osteoblastic differentiation stage. Analysis of Men1-lacking stromal spindle cells isolated from OF (OF-derived MSCs (OFMSCs)) revealed a downregulation of the cyclin-dependent kinase (CDK) inhibitor Cdkn1a, consistent with an increased proliferation rate. Intriguingly, the re-expression of Men1 in Men1-deficient OFMSCs restored Cdkn1a expression and abrogated cellular proliferation supporting the tumor-suppressive role of Men1 in OF. Although our work presents the first evidence of Men1 in OF development, it further provides the first genetic mouse model of OF that can be used to better understand the molecular pathogenesis of these benign tumors and to potentially develop novel treatment strategies.
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Franco-Barrera MJ, Zavala-Cerna MG, Fernández-Tamayo R, Vivanco-Pérez I, Fernández-Tamayo NM, Torres-Bugarín O. An update on peripheral ossifying fibroma: case report and literature review. Oral Maxillofac Surg 2016; 20:1-7. [PMID: 26556782 DOI: 10.1007/s10006-015-0535-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 11/01/2015] [Indexed: 06/05/2023]
Abstract
The purpose of the present article was to present a clinical case of an 11-year-old girl with peripheral ossifying fibroma (POF). Additionally, after performing a literature review, we identified clinical information that occurs more frequently in association with POF, such evidence would help professionals in yielding a specific diagnosis and tailor a more specific therapeutic approach with the objective to decrease morbidities' associated with POF. This lesion represents the third most common lesion of all localized reactive hyperplastic lesions. Clinical aspects related to this pathology include the fact that it occurs most frequently in women between the first and second decades of life. It affects anterior maxillary region and interferes with normal functioning of this anatomical structure. After conducting the literature search, we found that it can also be presented in a considerable number of males with pain and hyperemia being the most common clinical manifestations. We found that often clinical cases are presented with incomplete information. It is important that in order to get to a consensus with respect to updates about information related to this lesion, new case series that include complete clinical information, radiographic analysis, and histopathology tests could be presented.
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Affiliation(s)
- María José Franco-Barrera
- Maxilofacial Surgery Division, Hospital Universitario de Puebla, Calle 13 Sur 1301, 72410, Heróica Puebla de Zaragoza Pue, Mexico.
| | - María Guadalupe Zavala-Cerna
- Immunology Department, School of Medicine, Universidad Autonoma de Guadalajara, Av. Patria 1201, Lomas del Valle, 45129, Zapopan, Jalisco, Mexico.
| | - Rubén Fernández-Tamayo
- Maxilofacial Surgery Division, Hospital Universitario de Puebla, Calle 13 Sur 1301, 72410, Heróica Puebla de Zaragoza Pue, Mexico.
| | - Israel Vivanco-Pérez
- Maxilofacial Surgery Division, Hospital Universitario de Puebla, Calle 13 Sur 1301, 72410, Heróica Puebla de Zaragoza Pue, Mexico.
| | - Nora Mariana Fernández-Tamayo
- Pathology Laboratory, Benemerita Universidad Autonoma de Puebla, Puebla, Mexico.
- Pathology Laboratory, Hospital ISSSTEP, Av Emiliano Zapata, San Baltazar Campeche, 72550, Heróica Puebla de Zaragoza Pue, Mexico.
| | - Olivia Torres-Bugarín
- Genotoxic Research Laboratory at School of Medicine, Universidad Autonoma de Guadalajara, Av. Patria 1201, Lomas del Valle, 45129, Zapopan, Jalisco, Mexico.
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Abstract
Fibrous growths in the gingiva with the histopathological presence of calcifications are a common occurrence in the oral cavity. These lesions can be neoplastic in nature with either odontogenic or non odontogenic origin or they can be reactive lesions. This is a case report of an unusual presentation of peripheral ossifying fibroma , unusual because of its abnormally large size with review of literature.
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Affiliation(s)
- Reena Rachel John
- Department of Oral and Maxillofacial Surgery, Vinayaka Mission's Sankarachariyar Dental College and Hospital, Salem, Tamil Nadu, India
| | - Saravanan Kandasamy
- Department of Oral and Maxillofacial Surgery, Vinayaka Mission's Sankarachariyar Dental College and Hospital, Salem, Tamil Nadu, India
| | - Narendran Achuthan
- Department of Oral and Maxillofacial Surgery, Vinayaka Mission's Sankarachariyar Dental College and Hospital, Salem, Tamil Nadu, India
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Anuradha BR, Penumarty S, Charan CR, Swati M. Application of 810-nm diode laser in the management of peripheral ossifying fibroma. J Indian Soc Periodontol 2015; 19:224-6. [PMID: 26015678 PMCID: PMC4439637 DOI: 10.4103/0972-124x.145831] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2013] [Accepted: 08/05/2014] [Indexed: 11/05/2022] Open
Abstract
Peripheral ossifying fibroma (POF) is a reactive gingival growth, which accounts for 9.6% of gingival lesions. It exhibits a peak incidence between the second and third decades of life with a female predilection. Treatment includes surgical excision down to the periosteum and periodontal ligament with thorough root planning. Another option available in place of conventional surgical excision is the excision using lasers. Here is a case of POF affecting anterior maxillary gingiva in 19-year-old male patient successfully managed using an 810-nm diode laser.
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Affiliation(s)
- Beela Ram Anuradha
- Department of Periodontics, MNR Dental College and Hospital, Hyderabad, Andhra Pradesh, India
| | - Swati Penumarty
- Department of Periodontics, MNR Dental College and Hospital, Hyderabad, Andhra Pradesh, India
| | - Challa Ram Charan
- Department of Oral and Maxillofacial Pathology, MNR Dental College and Hospital, Hyderabad, Andhra Pradesh, India
| | - Mutyala Swati
- Department of Periodontics, MNR Dental College and Hospital, Hyderabad, Andhra Pradesh, India
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Mergoni G, Meleti M, Magnolo S, Giovannacci I, Corcione L, Vescovi P. Peripheral ossifying fibroma: A clinicopathologic study of 27 cases and review of the literature with emphasis on histomorphologic features. J Indian Soc Periodontol 2015; 19:83-7. [PMID: 25810599 PMCID: PMC4365164 DOI: 10.4103/0972-124x.145813] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Accepted: 06/17/2014] [Indexed: 12/21/2022] Open
Abstract
The peripheral ossifying fibroma (POF) is a relatively uncommon, reactive gingival overgrowth usually composed of cellular fibroblastic tissue containing one or more mineralized tissues, namely bone, cementum-like material, or dystrophic calcification. The aetiology and pathogenesis of POF are yet not clear, but some authors have hypothesized a reaction originating from the periodontal ligament, as a result of irritating agents such as dental calculus, plaque, orthodontic appliances, and ill-fitting restorations. The aim of our study was to report the clinicopathologic features of a case series of POF from a single Italian institution. A total of 27 cases were collected over an 18-year period. Detailed relevant medical history, clinical and histological information were recorded for each patient. The age range of patients (m = 6; f = 21) was 17.2-80.1 years with a mean of 42.9 ± 18.1 years. Occurrence of the lesion in the mandibular and maxillary arches was similar, and 67.0% occurred in the incisor-cuspid region. The lesions ranged in size from 0.3 to 5.0 cm (mean, 1.3 cm ± 1.1 cm). All the different types of mineralization were present, with higher prevalence of lamellar bone. The lesions were treated by surgical excision and four lesions in three patients recurred after surgery. Surgeons should consider the high recurrence rate of POF and remove the lesion down to the bone involving also the adjacent periosteum and the periodontal ligament. Professional prophylaxis should precede any surgical procedure, and periodical dental hygiene recalls are important in order to remove any possible irritating factor.
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Affiliation(s)
- Giovanni Mergoni
- Department of Otolaryngological/Dental/Ophthalmological and Cervico-Facial Sciences, Unit of Oral Pathology, Oral Medicine and Laser-Assisted Oral Surgery, Section of Odontostomatology, Italy
| | - Marco Meleti
- Department of Otolaryngological/Dental/Ophthalmological and Cervico-Facial Sciences, Unit of Oral Pathology, Oral Medicine and Laser-Assisted Oral Surgery, Section of Odontostomatology, Italy
| | - Simone Magnolo
- Department of Otolaryngological/Dental/Ophthalmological and Cervico-Facial Sciences, Unit of Oral Pathology, Oral Medicine and Laser-Assisted Oral Surgery, Section of Odontostomatology, Italy
| | - Ilaria Giovannacci
- Department of Otolaryngological/Dental/Ophthalmological and Cervico-Facial Sciences, Unit of Oral Pathology, Oral Medicine and Laser-Assisted Oral Surgery, Section of Odontostomatology, Italy
| | - Luigi Corcione
- Department of Pathology and Laboratory Medicine, Section of Pathology, University of Parma, Parma, Italy
| | - Paolo Vescovi
- Department of Otolaryngological/Dental/Ophthalmological and Cervico-Facial Sciences, Unit of Oral Pathology, Oral Medicine and Laser-Assisted Oral Surgery, Section of Odontostomatology, Italy
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Rallan M, Pathivada L, Rallan NS, Grover N. Peripheral ossifying fibroma. BMJ Case Rep 2013; 2013:bcr-2013-009010. [PMID: 23696140 DOI: 10.1136/bcr-2013-009010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Peripheral ossifying fibroma is a gingival growth, usually arising from interdental papilla and occurring frequently in the anterior maxilla. It represents upto 2% of all lesions that are biopsied. Other terms used to describe this lesion include peripheral ossifying fibroma, peripheral cementifying fibroma and calcified or ossified fibrous epulis. Paediatric patients with such a lesion have special management considerations as it requires early recognition and treatment. It requires proper treatment protocol with close postoperative follow-up. This case report presents a 12-year-old boy with an unusually large lesion in relation to the palatal aspect of the maxillary anterior teeth and its management.
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Affiliation(s)
- Mandeep Rallan
- Department of Pediatric Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.
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Abstract
A case of peripheral ossifying fibroma (POF) in the mandibular gingiva of a 17-year-old male is described. The lesion was asymptomatic, firm, pink, and present on the lingual alveolar mucosa interdentally between 43 and 44. Radiographic investigations revealed no significant findings. Excisional biopsy was performed for the lesion. Microscopic findings confirmed the diagnosis of POF.
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Affiliation(s)
- Parveen Dahiya
- Department of Periodontics, Himachal Institute of Dental Sciences and Research, Paonta Sahib, Dist: Sirmour
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"Gigantiform" peripheral ossifying fibroma: report of a case. J Oral Maxillofac Surg 2012; 70:2610-3. [PMID: 22310455 DOI: 10.1016/j.joms.2011.12.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2011] [Revised: 11/30/2011] [Accepted: 12/02/2011] [Indexed: 11/24/2022]
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15
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Rajanikanth BR, Moogla S, Suragimath G, Pai BSJ, Walvekar A, Kumar R. Localized gingival enlargement—a diagnostic dilemma. Indian J Dent 2012. [DOI: 10.1016/s0975-962x(12)60013-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Chatterjee A, Ajmera N, Singh A. Peripheral cemento-ossifying fibroma of maxilla. J Indian Soc Periodontol 2011; 14:186-9. [PMID: 21760674 PMCID: PMC3100863 DOI: 10.4103/0972-124x.75915] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2010] [Accepted: 06/22/2010] [Indexed: 11/28/2022] Open
Abstract
Peripheral cemento-ossifying fibroma is a reactive gingival overgrowth occurring frequently in anterior maxilla. It is a slow-growing benign tumor which may lead to pathologic migration and other periodontal problems, so it should be excised as soon as possible. The recurrence rate of peripheral cemento-ossifying fibroma is reported to be 8% to 20%, so a close postoperative follow-up is required. Herein, we are reporting a similar case of peripheral cemento-ossifying fibroma in the maxillary anterior region.
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Affiliation(s)
- Anirban Chatterjee
- Department of Periodontics, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
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