Peripheral Cemento-Ossifying Fibroma in an Adolescent: A Case Report

Abstract

Peripheral ossifying fibroma is a reactive lesion of the gingiva presenting as a firm and nodular mass more commonly in the anterior maxilla in adolescent females. It originates from the connective tissue of gingiva or periodontal ligament and presents as a benign, slow growing, painless mass that is relatively less common, contributing to 8% of the gingival enlargements. Diagnosis is confirmed by histopathology and treatment includes surgical excision. Recurrence rate has been reported to be 8%-20% and may be due to the remnants of pathologic tissue after excision. This case report presents a classical case of peripheral cement-ossifying fibroma in a 17yr old female in maxillary incisor-cuspid region which was treated by local excision and debridement.