Peripheral Ossifying Fibroma

Definition
Peripheral ossifying fibroma is a relatively common reactive growth on the gingiva, with a characteristic histomorphological pattern. Etiology Unknown. It is thought to derive fromthe periodontal ligament or the periosteum.

Peripheral ossifying fibroma.

Clinical features
The lesion occurs exclusively on the gingiva, and it is more common in children and young adults, with a female predilection It presents as a well-defined, firmm ass, sessile or pedunculated, usually covered by smooth normal epithelium (Fig). The surface is frequently ulcerated due to mechanical trauma. The size varies from 0.5 cmto 2 cmin diameter. More than 50% of cases occur in the region of the incisors and canine teeth.

Laboratory tests
Histopathological examination

Differential diagnosis
Pyogenic granuloma, peripheral giant-cell granuloma, fibroma, peripheral odontogenic tumors.

Treatment
Surgical excision.