International Journal of Research and Reports in Dentistry

Surgical Management of a Maxillary Peripheral Ossifying Fibroma

Rucha R. Pandya *

Department of Periodontology and Implantology, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

Neema Shetty

Department of Periodontology and Implantology, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

Aditi Mathur

Department of Periodontology and Implantology, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

Ashish Bali

Department of Periodontology and Implantology, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

*Author to whom correspondence should be addressed.

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Abstract

Peripheral ossifying fibroma (POF) is a fibromatic and non-neoplastic enlargement of the gingiva that exhibits regions of calcification/ossification. The present case shows a  peripheral ossifying fibroma of the maxilla. The lesion was evident on the attached gingiva of maxillary posterior teeth extending from canine to first molar teeth. For management, fibroma was surgically excised and L-PRF membrane was placed over the underlying exposed bone under local anesthesia,. Histological examination was done to confirm the diagnosis of Peripheral Ossifying Fibroma. L-PRF membrane as a biomaterial to cover the exposed areas of the bone after surgical excision is an effective option for better secondary intention healing and it provides acceptable results for tissue regeneration.

Keywords: Fibroma, ossifying, calcification, granuloma, pyogenic, peripheral, surgical, biopsy

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References

Farquhar T, MacLellan J, Dyment H, Anderson RD. Peripheral ossifying fibroma: a case report. J Can Dent Assoc. 2008;74(9):809-812.

Keluskar V, Byakodi R, Shah N. Peripheral ossifying fibroma. Journal of Indian Academy of Oral Medicine and Radiology. 2008;20(2):54.

Kenney JN, Kaugars GE, Abbey LM. Comparison between the peripheral ossifying fibroma and peripheral odontogenic fibroma. Journal of Oral and Maxillofacial Surgery. 1989;47(4):378-382.

Das UM, Azher U. Peripheral ossifying fibroma. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2009;27(1):49.

Rajendran R, Sivapathasundharam B, Shafer WG. Shafer's textbook of oral pathology (6th ed ed.). New Delhi: Elsevier/Reed Elsevier; 2009.

Borie E, Oliví DG, Orsi IA, Garlet K, Weber B, Beltrán V, Fuentes R. Platelet-rich fibrin application in dentistry: a literature review. Int J Clin Exp Med. 2015;8(5):7922-7929.

Baghani Z, Kadkhodazadeh M. Periodontal dressing: a review article. J Dent Res Dent Clin Dent Prospects. 2013;7(4):183-191.

Kumar SK, Ram S, Jorgensen MG, Shuler CF, Sedghizadeh PP. Multicentric peripheral ossifying fibroma. Journal of Oral Science. 2006;48(4):239-243.

Buchner A, Hansen LS. The histomorphologic spectrum of peripheral ossifying fibroma. Oral Surgery Oral Medicine Oral Pathology. 1987;63(4):452-461.

Cuisia Z, Brannon R. Peripheral ossifying fibroma--a clinical evaluation of 134 pediatric cases. Pediatric Dentistry. 2001;23(3):245-248.

Flaitz C. Peripheral ossifying fibroma of the maxillary gingiva. American Journal of Dentistry. 2001;14(1):56.

Gulati R, Khetarpal S, Ratre MS, Solanki M. Management of massive peripheral ossifying fibroma using diode laser. J Indian Soc Periodontol. 2019;23(2):177-180. DOI:10.4103/jisp.jisp_431_18

Freire AEN, da Silva VSA, Pereira AAC, Ribeiro Junior NV, de Carli ML, Sperandio FF, Hanemann JAC. Giant Peripheral ossifying fibroma treated with piezosurgery and platelet-rich fibrin: a rare case report. Clin Adv Periodontics. 2019;9(1):15-19. DOI:10.1002/cap.10042