A Massive and Rare Case of Peripheral Ossifying Fibroma: A Case Report

Abstract

Localized gingival growths are most frequently encountered lesions in the oral cavity, which are considered to be reactive rather than neoplastic. Different lesions with similar clinical presentation make it difficult to arrive at a correct diagnosis. These lesions include pyogenic granuloma, irritation fibroma, peripheral giant cell granuloma, peripheral ossifying fibroma (POF). Among these lesions, an infrequently occurring gingival lesion is the POF. Considerable confusion has prevailed in the nomenclature of POF due to its variable histopathologic features. This is a case presentation of a 40-year-old female with gingival overgrowth in the maxillary right premolar – molar region. Clinically, the lesion was symptomatic, firm, pale pinkish and sessile. Excisional biopsy of the lesion was done followed by histopathologic confirmation with emphasis on the clinical aspect. The rate of recurrence for POF being 8-20%, close post-operative follow-up done.