Recurrent peripheral ossifying fibroma: Case report

Harshita, Nadimpalli; Kadakampally, David

doi:10.17219/dmp/80863

Cited by 16 publications

(13 citation statements)

References 6 publications

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“…Clinically, the lesions have some distinctions: a POF is generally firm, pale pink to dark red, while a PG has a soft consistency, ranging from dark red to reddish purple, with a tendency to bleed easily [6,7]. As reported, the PG lesion had mixed color and bleeding aspect, while the POF was pink and not bleeding.…”

Section: Discussionmentioning

confidence: 77%

“…Histopathologically, the diagnosis of POF includes criteria such as the presence of fibrous connective tissue with variable fibroblast, myofibroblast and collagen content, scarce to abundant endothelial proliferation, and mineralized material. These mineralized components vary from 23-75% and can be of three types: bone, dystrophic calcifications, or cementum [7,8]. A study demonstrated the presence of oxitan fibers around the mineralized components of the POF and a larger area occupied by the connective tissue stroma in relation to the mineralized components when compared to other fibro-bone lesions, in addition to a higher collagen density [9].…”

Section: Discussionmentioning

confidence: 99%

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Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma

Godinho¹,

Silva²,

Noronha³

et al. 2022

Cureus

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The aim of the present article is to present the clinical case of a large peripheral ossifying fibroma that evolved from a previously diagnosed pyogenic granuloma in a 50-year-old woman. The patient was referred for treatment of a lesion over the buccal and palatal gingiva close to the left upper first molar. It was purplish-red in color, approximately 3 cm in diameter, having a smooth surface, a pedicled and bleeding base, with seven years of evolution, and diagnosed as pyogenic granuloma. After three years of evasion, the patient returned reporting an increase in the lesion and difficulty in eating. Clinically the nodule was lobular in appearance, pink in color and smooth, pediculated, firm in consistency, non-bleeding, about 5 cm in its greatest extension, extending to the maxillary tuberosity. The lesion was excised and referred for histopathological examination, which led to the diagnosis of peripheral ossifying fibroma. The patient was followed for approximately 18 months, prosthetically rehabilitated, with satisfactory healing and no clinical signs of recurrence.The possible evolution of a pyogenic granuloma to a peripheral ossifying fibroma was observed in this case, based on the histopathological changes that occurred, with the development of calcified material, fibrous maturation, and decreased vascular content of the initial lesion after three years.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma

Godinho¹,

Silva²,

Noronha³

et al. 2022

Cureus

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“…Clinically reactive lesions presented as sessile lesions (51%) or peduncle lesions (49%). Lesions were more frequent in females, 99 cases, (63.9%) and less frequent in males, 56 cases, (36.1%) [6]. In another study, Babu et al [8] found the medium size of the reactive lesions ranged between about 0.5-1cm.…”

Section: Discussionmentioning

confidence: 97%

“…Reactive lesions are relatively common in the oral cavity due to the frequency with which the mucous membranes undergo trauma. They often also arise due to bacterial plaque, tartar, and the presence of foreign bodies such as prostheses and orthodontic appliances [6]. Most reactive lesions in the oral cavity involve the gingiva.…”

Section: Discussionmentioning

confidence: 99%

Healing without Surgery: A Case of Supernumerary Tooth,

Mosaico¹,

Viganò²,

Orrù³

et al. 2019

TODENTJ

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Background: Supernumerary teeth are present in 0,2-3% of the population. Multiple supernumeraries are often associated with syndromes such as cleidocranial dysplasia and Gardner's syndrome. They often hinder the permanent eruption’s teeth, causing cavities, periodontal lesions, pulp necrosis, and in some cases follicular cysts. Reactive lesions such as fibroma, local fibrous hyperplasia, pyogenic granuloma, and peripheral ossifying fibroma are frequent gingival lesions. Materials and Methods: We reported a case of a 9 years old patient with the missed eruption of a permanent element caused by a supernumerary tooth, associated with an exophytic palatine lesion. The deciduous incisor was still present and the supernumerary included. It was decided to proceed with the extraction of the deciduous and to wait for scheduling checks every two months. After a few months, the conoid shape supernumerary tooth erupted in the maxillary arch, so a fixed orthodontic therapy was performed to create the space for the central incisor’s eruption. Results: After a few months, the tooth began to erupt in the arch thanks to orthodontic traction. The patient was instructed to correct and specific oral hygiene maneuvers to lower the plaque index and try to reduce gingival hypertrophy. Conclusion: Supernumerary teeth often hinder the eruption and development of the related permanent tooth causing localized periodontal problems. Corrective fixed orthodontics requires more strict oral hygiene to avoid periodontal complications.

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“…However, the word "cementifying ossifying fibroma" was changed to ossifying fibroma in the current classification in 2005. 1,7,8 The source of Ossifying Fibroma is believed to be the periodontal membrane. Few OFs comprise predominantly cementum-like calcifications and the rest show just bony material, but a combination of the two categories of calcification is frequently seen in a solitary lesion.…”

Section: Discussionmentioning

confidence: 99%

Ossifying fibroma of maxilla – A pediatric case

Badhan¹,

Shah

Landge³

et al. 2023

IJOHD

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Ossifying fibroma (OF) is classified as, and behaves like, a benign bone neoplasm. It is often considered to be a type of fibro-osseous lesion (FOL). It can affect both mandible and the maxilla, particularly the mandible. This bone tumour consists of highly cellular, fibrous tissue that contains varied amounts of bone or cementum resembling calcified tissue. Present case is an unusual report of ossifying fibroma involving the left side of maxilla in a 13-year old male patient, who presented to the department with a painless hard swelling. The lesion was treated by surgical enucleation and curettage.Surgical enucleation and curettage was performed.: Healing was uneventful, patient has been kept on a regular follow-up regimen.The case report and treatment of an unusual case of Ossifying fibroma in the maxilla of a paediatric patient has been described. Based on our experience, we suggest that proper correlation of the clinical, radiological and histological features is necessary to establish a definitive diagnosis, as well as for proper surgical intervention. As reported in the literature, the rate of recurrence is not very high, but long term periodic follow-up is warranted.

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Recurrent peripheral ossifying fibroma: Case report

Cited by 16 publications

References 6 publications

Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma

Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma

Healing without Surgery: A Case of Supernumerary Tooth,

Ossifying fibroma of maxilla – A pediatric case

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