Idiopathic peripheral ossifying fibroma in a young adolescent girl: A very rare clinical presentation

Abstract

The use of the term “fibroma” for any soft-tissue lesion or gingival lesion by general practitioners has led to inadequate diagnosis of quite a few rare entities. The occurrence of gingival lesions in adolescent female patients is a routine clinical finding. The site of occurrence of such a lesion is of prime significance, as the rarity of these lesions is determined by the site and size of the lesion. On the other hand, the dilemma over the diagnosis of peripheral ossifying fibroma (POF) versus peripheral odontogenic fibroma still continues. Commonly used synonyms for POF include calcifying fibroblastic granuloma, peripheral fibroma with calcification, peripheral cementifying fibroma, and calcifying or ossifying fibrous epulis. The present case report deals with the management of a unique case of POF between two maxillary central incisors in an adolescent female child patient, followed up to 2-year postsurgical excision.

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

“…Yu [11] reported a case, very similar to the one reported by Lima et al, of a diffuse POF in a 13 years old girl, localized on the maxilla, mandible, and palate, presenting with difficulties in speech, feeding, and oral hygiene; after a first debulking, the patient received a more aggressive excision in the following year that allowed complete healing without recurrence. Hasanuddin [29] reported a maxillary POF in a 15 years old female that impeded lip competence because of its dimension of 2.4 x 2 cm, without radiolucency on the orthopantomography; the patient was subjected to an excisional biopsy with a scalpel following a bone debridement, and no recurrence was detected after 2 years. Nair and Tewari [30,31] described two similar cases of POF located in the anterior mandible, respectively in 3 and 2 months patients, with medical history of neonatal teeth; in both cases, lesions did not allow correct breastfeeding, so their surgical excision was necessary.…”

“…The most reported and performed surgery consists of scalpel, followed by bone debridement, tooth scaling and root planning, with an approach that is as conservative as possible [39]. Of the 12 studies conducted on pediatric patients that we considered in this review, 9 authors have preferred this conventional treatment strategy because of its wellestablished reliability [8,11,14,20,25,26,28,29,32]. The remaining 3 authors reported the surgical excision of POF in newborns using diode laser [27,30,31].…”

Large peripheral ossifying fibroma interfering with the normal functions of the oral cavity: A rare case report presentation and discussion

“…It usually arises from the cells in the periodontal ligaments and periosteum; mainly the interdental part of the anterior mandibular teeth. Moreover, the prevalence of POF is high among teenager and young adult females [ 1 ].…”