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Stomatologija 2021; 23 (2): 56-60 249 KB

Peripheral ossifying fibroma: A case report

Jakub Mokrysz¹, Zuzanna Nowak², Maciej Chęciński²

Summary

Peripheral ossifying fibroma (POF) is a reactive lesion that originates in the gingiva. Morphological similarity to other epulides and similar nomenclature to neoplastic tumors give rise to obvious problems both at the stage of diagnosis and treatment of POF. Although POF is one of the less common gingival lesions, it accounts for up to 2% of all oral lesions, which means that most general dentists will encounter POF in their practice.

This paper aims to present the case of a 56-year-old woman diagnosed with POF. In the described case, POF most likely resulted from chronic periodontal irritation due to the presence of prosthetic crowns. The applied treatment in the form of total excision of POF, removal of irritants and gingivoplasty brought the expected therapeutic effect, i.e. no recurrence in the period of the hitherto follow-up. Terminological difficulties, the basics of differentiating typical gingival tumors, therapeutic options with suggested management of POF, and recurrence rate with the follow-up scheme were discussed.

Despite the reactive nature of POF, this lesion recurs up to 20% and can transform to giant POF. For this reason, POF should not be underestimated, and proper diagnosis, treatment, and follow-up are critical to the success of therapy.

Key words: peripheral ossifying fibroma, epulides, lesions of gingiva.

Received: 06 11 2020

Accepted for publishing: 28 06 2021

¹Comfortmed s.j. Specialized Medical and Dental Clinic, Żory, Poland

²StomaDent Non-public Healthcare Institution, Dental Clinic, Praszka, Poland

Address correspondence to Jakub Mokrysz, Specialized Medical and Dental Clinic, Wspólna 12, 44-240 Żory, Poland.

E-mail address: jakub.mokrysz@gmail.com



	Baltic Dental and Maxillofacial Journal

June, 2021, Vol. 23, No. 2 CONTENTS REVIEW One abutment one time vs repeatable abutment disconnections in implants, restored with cemented / screw retained fixed partial dentures: Marginal bone level changes. A systematic review and meta-analysis Imantas Vatėnas, Tomas Linkevičius 35-40 SCIENTIFIC ARTICLES Orthodontic problems among string and wind instrument players Viktorija Masiulytė, Alvyda Žarovienė, Vilma Švalkauskienė 41-47 The effect of new acrylic full removable dentures on food taste Elvinas Juzikis, Justina Klimenko, Juozas Žilinskas, Eglė Ivanauskienė 48-50 CASE REPORTS Iatrogenic penetration of the mouth floor during mandibular molar extraction: A case of protracted bleeding in an emergency department and clinico-anatomical considerations Ioannis Papadiochos, Sofia Papadiochou, Andreas-Rafail 51-55 Peripheral ossifying fibroma: A case report Jakub Mokrysz, Zuzanna Nowak, Maciej Chęciński 56-60 © 2021 Stomatologija		Stomatologija 2021; 23 (2): 56-60 249 KB Peripheral ossifying fibroma: A case report Jakub Mokrysz¹, Zuzanna Nowak², Maciej Chęciński² Summary Peripheral ossifying fibroma (POF) is a reactive lesion that originates in the gingiva. Morphological similarity to other epulides and similar nomenclature to neoplastic tumors give rise to obvious problems both at the stage of diagnosis and treatment of POF. Although POF is one of the less common gingival lesions, it accounts for up to 2% of all oral lesions, which means that most general dentists will encounter POF in their practice. This paper aims to present the case of a 56-year-old woman diagnosed with POF. In the described case, POF most likely resulted from chronic periodontal irritation due to the presence of prosthetic crowns. The applied treatment in the form of total excision of POF, removal of irritants and gingivoplasty brought the expected therapeutic effect, i.e. no recurrence in the period of the hitherto follow-up. Terminological difficulties, the basics of differentiating typical gingival tumors, therapeutic options with suggested management of POF, and recurrence rate with the follow-up scheme were discussed. Despite the reactive nature of POF, this lesion recurs up to 20% and can transform to giant POF. For this reason, POF should not be underestimated, and proper diagnosis, treatment, and follow-up are critical to the success of therapy. Key words: peripheral ossifying fibroma, epulides, lesions of gingiva. Received: 06 11 2020 Accepted for publishing: 28 06 2021 ¹Comfortmed s.j. Specialized Medical and Dental Clinic, Żory, Poland ²StomaDent Non-public Healthcare Institution, Dental Clinic, Praszka, Poland Address correspondence to Jakub Mokrysz, Specialized Medical and Dental Clinic, Wspólna 12, 44-240 Żory, Poland. E-mail address: jakub.mokrysz@gmail.com