Peripheral ossifying fibroma in the oral cavity: CT and MR findings

Moon, Won-Jin; Sy, Choi; Ec, Chung; Kh, Kwon; Sw, Chae

doi:10.1259/dmfr/59377498

Cited by 46 publications

(62 citation statements)

References 6 publications

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“…Other terms used in reference to POF are peripheral cementifying fibroma, peripheral fibroma with cementogenesis, peripheral fibroma with osteogenesis, peripheral fibroma with calcification, calcified or ossified fibrous epulis, and calcified fibroblastic granuloma (3,6,7).…”

Section: Introductionmentioning

confidence: 99%

“…The lesions are most often found in the gingiva, located anterior to the molars (1,2) and in the maxilla (8). Clinically, POF usually manifests as a well-defined and slow-growing gingival mass measuring under 2 cm in size and located in the interdental papilla region (1,2,(5)(6)(7)9). The base may be sessile or pedunculated, the color is identical to that of the gingiva or slightly reddish, and the surface may appear ulcerated (1,2,(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

“…The definitive diagnosis is based on histological examination (6,7), with the identification of cellular connective tissue and the focal presence of bone or other calcifications (1,6,8). However, it has not been established whether POF is a tumor or represents proliferation of a reactive nature.…”

Section: Introductionmentioning

confidence: 99%

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Peripheral ossifying fibroma: a clinical and immunohistochemical study of four cases

Marcos¹,

Marcos

Rodriguez³

et al. 2010

J Oral Sci

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Peripheral ossifying fibroma (POF) is alesion of the gingival tissues that predominantly affects women and is usually located in the maxilla anterior to the molars. The definitive diagnosis is established by histological examination, which reveals the presence of cellular connective tissue with focal calcifications. Surgery is the treatment of choice, though the recurrence rate can reach 20%. We present a clinical and histological review -including a detailed immunohistochemical analysis -of four cases of POF diagnosed and treated at our hospital. All four patients w e re w o m e n , a n d t w o w e re p re g n a n t . T h e immunohistochemical study revealed that the p ro l i f e r a t i n g c e l l s

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Peripheral ossifying fibroma: a clinical and immunohistochemical study of four cases

Marcos¹,

Marcos

Rodriguez³

et al. 2010

J Oral Sci

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“…A maior ocorrência desta patologia está no sexo feminino 4,12,13 Quanto ao aspecto radiográfico, Poon et al 1 (1995) citaram, que este pode ser um exame auxiliar de grande importância, porém somente quando a lesão for madura, mesmo assim existe a possibilidade de não se verificar nenhuma alteração na imagem radiográfica. Pequenos ajustes na exposição podem ser feitos para que pequeninos focos radiopacos sejam identificados.…”

Section: Discussionunclassified

Fibroma ossificante periférico: relato de caso

Moreti

Pimentel²,

Boer

et al. 2016

Arch Health Invest

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ResumoO Fibroma Ossificante Periférico é uma lesão nodular caracterizada como hiperplásica inflamatória reacional sendo considerada uma das patologias bucais mais comuns, ocorre quase que exclusivamente na gengiva inserida e geralmente envolve a papila interdental. É uma entidade patológica que suscita muitas controvérsias em relação à sua natureza, pois tem etiologia desconhecida. Cálculos dentais, placa bacteriana, próteses mal adaptadas e outros fatores iatrogênicos, alimentos duros durante a mastigação, deglutição e fala, são considerados fatores irritantes gengivais podendo influenciar neste crescimento reacional. Apresenta como aspecto histopatológico mais marcante a presença de calcificações em várias formas e tamanhos. O exame radiográfico é de grande valor para o diagnóstico, visto que focos radiopacos centrais, podem estar associados ou não a discreta reabsorção da crista do rebordo em sua base. Estudos radiológicos, em alguns casos, mostram na massa de tecido mole área de calcificação. O propósito deste trabalho foi relatar um caso clínico de fibroma ossificante periférico, suas características clínicas, radiográficas e histopatológicas, reforçando a importância dos exames complementares no diagnóstico desta patologia. Concluiu-se que o fibroma ossificante periférico é uma lesão reacional da gengiva, nodular e assintomática. Necessita de exame histopatológico para a confirmação do diagnóstico. O exame radiográfico é de grande importância, pois dependendo da fase de desenvolvimento da lesão esta pode apresentar-se com discretos pontos de calcificações, sem envolvimento do osso subjacente. Descritores: Paracoccidioidomicose; Mucosa bucal; Manifestações Bucais; Epidemiologia. AbstractPeripheral ossifying fibroma is a nodular lesion characterized as inflammatory and hyperplasic reaction. It is considered one of the most common oral diseases and occurs almost exclusively in the attached gingiva. Usually involves the interdental papillae. It is a pathological entity that raises many controversies regarding their nature, although the unknown etiology. Dental calculus, plaque, illfitting dentures and other iatrogenic factors, food during chewing, swallowing and speaking are considered gingival irritants and may influence this reaction growth. The differential diagnosis is made with the fibrous hyperplasia, peripheral giant cell lesion and pyogenic granuloma. Only clinical findings are not sufficient for the diagnosis of peripheral ossifying fibroma, as both their clinical appearance as developments may be similar to pyogenic granuloma and peripheral granuloma and giant cells. The most striking histologic features is the presence of calcifications. Radiographic examination is useful for the diagnosis, since central radiopaque areas corresponding to mineralization, with or without discrete resorption rim crest in its base, can be identified. Radiologic studies, in some cases, show the mass soft tissue calcification area. This study was to report a case of peripheral ossifying fibroma, their clinical and radiogr...

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“…It occurs only on the soft tissue over the alveolar bone and is a reactive lesion [1]. This reactive lesion occurs in response to low-grade irritations such as trauma, plaque, calculus, micro-organisms, masticatory forces, ill-fitting dentures and poor quality restorations.…”

Section: Introductionmentioning

confidence: 99%

Ossifying Fibroma of Maxilla

Muthu¹

2017

Austin J Dent

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Peripheral ossifying fibroma in the oral cavity: CT and MR findings

Cited by 46 publications

References 6 publications

Peripheral ossifying fibroma: a clinical and immunohistochemical study of four cases

Peripheral ossifying fibroma: a clinical and immunohistochemical study of four cases

Fibroma ossificante periférico: relato de caso

Ossifying Fibroma of Maxilla

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