Peripheral odontogenic fibroma: A case report and review

Abstract

Odontogenic tumors mainly occur as intraosseous growths but sometimes may present in a peripheral location on the gingiva where they are referred to as peripheral odontogenic tumors (POTs) which are a rare entity, the most common of them being the peripheral odontogenic fibroma that is an otherwise uncommon, slowly growing, benign odontogenic neoplasm of the periodontal soft tissues. In fact, peripheral odontogenic fibroma is the only POT that is more frequent than its central counterpart. Although considered to be with a potential to recur after excision, the actual recurrence rate is not known due to paucity of literature. This paper presents a case report along with review of the available literature and reinforces the importance of patient follow-up in addition to radiographic and histological examination of seemingly innocuous gingival exophytic lesions.

A rare benign odontogenic neoplasm: peripheral odontogenic fibroma

“…There did seem to be a predilection for occurrence in the mandible, which was involved in 11 of 15 cases 4. It is commonly seen in the anterior mandible region on buccal gingival surface, rarely causing displacement of teeth 11. Some studies reported no involvement of underlying bone and some areas of calcification12 which was not seen in the present case.…”

Peripheral Odontogenic Fibroma: A Rare Case Report

“…An odontogenic fibroma is a benign odontogenic tumor that can occur centrally or peripherally (4). POF is usually manifested clinically as a focal swelling (9)(10)(11)(12). Studies on POF are controversial, and no clear opinion has been established on age, gender, and race (13).…”

Fibroma Odontogénico Periférico: Reporte de un Caso

“…Debido a su presentación clínica, ubicación y escasa frecuencia, es que la mayoría de las veces es diagnosticada inicialmente como una lesión reaccional. Se describe que entre sus diagnósticos diferenciales se debe incluir granuloma piogénico, hiperplasia fibrosa epitelial inflamatoria, y fibroma osificante periférico (Baiju & Rohatgi, 2011). El examen radiográfico permite descartar un origen central con consecuente exteriorización.…”