Atypical Peripheral Ossifying Fibroma of the Mandible

Peripheral ossifying fibroma (POF) is a benign localized lesion originating from gingival and alveolar oral mucosa. Its origin can be cells of periodontal ligament. The lesions usually develop in women in their twenties. POF is a complex clinical and histological diagnosis due to its shared characteristics with many other conditions. In this paper, we presented a case of an atypical peripheral ossifying fibroma (POF) in the left lateral part of the mandible in a 70-year-old male patient who had two semicircular bridges supported on four implants in the upper and lower jaws. A review of CBCT and orthopedic imaging showed no visible intraosseous changes. Histological analysis revealed the diagnosis of POF. The case in question is interesting, as elaborated on in the discussion section of this paper because POF is usually found in female patients aged between 20 and 30 years.

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An Unusual Presentation of Peripheral Ossifying Fibroma in an Elderly Male - A Case Report

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/579 ◽

2021 ◽

Vol 10 (33) ◽

pp. 2847-2850

Author(s):

Shahira Shahira ◽

Biju Thomas ◽

Amitha Ramesh ◽

Santhosh Shenoy ◽

Anegundi Raghavendra Vamsi

Keyword(s):

Case Report ◽

Oral Cavity ◽

Male Patient ◽

Periodontal Ligament ◽

Ossifying Fibroma ◽

Minor Trauma ◽

Central Type ◽

Peripheral Ossifying Fibroma ◽

Peripheral Type ◽

Reactive Processes

Peripheral ossifying fibroma (POF) is a reactive process of the gingiva that develops due to irritation or minor trauma. Females are more affected than males suggesting a hormonal influence. This case report describes a case of peripheral ossifying fibroma in a 48-year-old male patient in 33, 34 regions in contrast to its common occurrence in young females. Histopathological examination is necessary to confirm the diagnosis. Surgical excision is the treatment of choice to prevent recurrence. One year follow up of the case showed no signs of recurrence. Gingival overgrowth is a common feature of the various types of gingival disease in the oral cavity. Gingival diseases and conditions can be due to genetic disorder, specific infections, inflammatory and immune conditions and lesions, reactive processes, neoplasms, endocrine, nutritional, and metabolic diseases, traumatic lesions and gingival pigmentation.1 Reactive processes are non-neoplastic nodular swellings that develop in response to local irritation or minor trauma. The term epulis is exophytic processes confined to the gingiva.2 Kfir et al. classified epulides into fibrous epulis, peripheral ossifying fibroma, pyogenic granuloma (vascular epulis), peripheral giant cell granuloma (or central).3 Ossifying fibromas in the oral cavity can be classified into central and peripheral type. The central type expands from the medullary cavity of the bone, arising from the endosteum or the periodontal ligament (PDL) adjacent to the root apex. Peripheral type arises from the soft tissues overlying the alveolar process which is contiguous with the periodontal ligament. 4 This article presents a case of POF in a male patient.

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Title: Management of a Peripheral Ossifying Fibroma in a Male Patient

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v1i2.15 ◽

2018 ◽

Vol 1 (2) ◽

pp. 83

Author(s):

Santosh R Patil ◽

Nidhi Yadav ◽

Krishna A Rao ◽

Kuraym Khalid Kuraym Alenazi ◽

Mohammad Khursheed Alam

Keyword(s):

Male Patient ◽

Young Male ◽

Health Sciences ◽

Ossifying Fibroma ◽

Surgical Removal ◽

Gingival Overgrowth ◽

Peripheral Ossifying Fibroma ◽

Causative Factors ◽

Interdental Papilla ◽

Slow Growing

Peripheral ossifying fibroma is a solitary, benign, reactive gingival overgrowth frequently arising from the interdental papilla. It is commonly seen in second decade in females. It is usually painless and slow growing, commonly seen in the anterior aspects of the jaws. The etiopathogenesis of the peripheral ossifying fibroma is not clearly established and the treatment of the lesion includes complete surgical removal along with the removal of causative factors to prevent recurrence. We report a case of peripheral ossifying fibroma in a young male patient.International Journal of Human and Health Sciences Vol. 01 No. 02 July’17. Page : 83-85

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Peripheral Ossifying Fibroma: A Case Report

Journal of Nepalese Society of Periodontology and Oral Implantology ◽

10.3126/jnspoi.v4i1.30903 ◽

2020 ◽

Vol 4 (1) ◽

pp. 39-42

Author(s):

Barun Kumar Sah ◽

Bandana Koirala ◽

Mamta Dali ◽

Sneha Shrestha

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Periodontal Ligament ◽

Ossifying Fibroma ◽

Reactive Process ◽

Peripheral Ossifying Fibroma ◽

Neoplastic Process ◽

One Year

Peripheral ossifying fibroma (POF) is a common solitary gingival growth thought to arise from the periodontal ligament. Though the etiology of POF remains unknown, some investigators consider it an inflammatory or reactive process, while others suggest it is a neoplastic process. Here, we present a case of POF in a 10-year-old boy, affecting the maxillary anterior gingiva along with its clinical, radiographic, histologic characteristics, differential diagnosis, treatment and one year follow-up.

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Ayurvedic management of Leukoplakia - A Case Study

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i3.8249 ◽

2017 ◽

Vol 2 (3) ◽

Author(s):

Makadia Krishna ◽

Ronakgiri V. Gosai ◽

Virpariya Jignesh ◽

Chabhadiya Nilesh ◽

Katrodiya Jayesh ◽

...

Keyword(s):

High Risk ◽

Oral Mucosa ◽

Male Patient ◽

Soft Palate ◽

Burning Sensation ◽

Oral Leukoplakia ◽

Premalignant Lesion ◽

Allopathic Medicine ◽

Floor Of The Mouth

Oral leukoplakia (OL) is a premalignant lesion described as “a predominant white lesion of the oral mucosa which cannot be defined as any other known lesion”. OL located on the floor of the mouth, soft palate and tongue are considered as high-risk lesions, while, in other areas, they may be considered as of low malignancy risk. A Forty five years old male patient had complaints of white lesion on left lat. Surface of tongue, along with burning sensation since 4-5 months. He was diagnosed with Leukoplakia and he had taken allopathic medicine for 4 to 5 times, but it was inversely relapsed, so he was treated with Pratisarana of Bibhitaka Churna and Rasayana Churna, Yastimadhu Ghanavati as lozenges along with Rasayana tablets orally for a period of 6 months. After 6 month therapy, white lesion became disappear and no burning sensation. Thus this patient was successfully treated with above therapy with no recurrence or any complications till date.

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Peripheral ossifying fibroma with an underlying exophytic bony mass

Journal of the International Clinical Dental Research Organization ◽

10.4103/2231-0754.153510 ◽

2015 ◽

Vol 7 (1) ◽

pp. 59

Author(s):

YV Nagarjuna Reddy ◽

Usha Hegde ◽

HaridasAbhishek Vivek ◽

DeepikaPawar Chandrashekara Rao

Keyword(s):

Ossifying Fibroma ◽

Peripheral Ossifying Fibroma ◽

Bony Mass

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

Dentomaxillofacial Radiology ◽

10.1259/dmfr/59377498 ◽

2007 ◽

Vol 36 (3) ◽

pp. 180-182 ◽

Cited By ~ 16

Author(s):

W-J Moon ◽

SY Choi ◽

EC Chung ◽

KH Kwon ◽

SW Chae

Keyword(s):

Oral Cavity ◽

Ossifying Fibroma ◽

Peripheral Ossifying Fibroma

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Quandary in Diagnosing Peripheral Ossifying Fibroma and Pyogenic Granuloma: A Case Report with Mini Review

Journal of Maxillofacial and Oral Surgery ◽

10.1007/s12663-020-01359-2 ◽

2020 ◽

Author(s):

Shilpa Sunil Khanna ◽

Meer Ahamed Ibrahim Munshi ◽

Ronak Nazir Kaul ◽

Sudhakar Srinivasan

Keyword(s):

Case Report ◽

Pyogenic Granuloma ◽

Ossifying Fibroma ◽

Peripheral Ossifying Fibroma

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Dental Trauma Caused by Screws in Internal Fixation of Mandibular Osteotomies in the Dog

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633078 ◽

1992 ◽

Vol 05 (03) ◽

pp. 104-108 ◽

Cited By ~ 17

Author(s):

A. J. Ligthelm ◽

F. J. M. Verstraete

Keyword(s):

Internal Fixation ◽

Oral Mucosa ◽

Postoperative Period ◽

Periodontal Ligament ◽

Dental Trauma ◽

Mandibular Fracture ◽

Fracture Repair ◽

The Body ◽

Mandibular Osteotomy

SummaryIn a canine mandibular osteotomy model, the extent and nature of dental trauma resulting from internal fixation by means of a plate and screws was investigated. The plate was positioned relatively dorsally on the buccal aspect of the body of the mandible, for maximum biomechanical advantage. After a three-month period, dental trauma was evaluated clinically and histologically. Erosion of the oral mucosa overlying the plate occurred in 10 out of 15 dogs. Dental roots were damaged by 61% of the screws. A variety of lesions involving the periodontal ligament, dentine, cementum, pulp, and periapical tissue were noted. It is concluded that this method of fixation can not be recommended for mandibular fracture repair in the dog.The effects of plating osteotomies of canine mandibles are described and evaluated following a three-month postoperative period.

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