PYOJENİK GRANÜLOMDAN GELİŞEN PERİFERAL OSSİFİYE FİBROMA: OLGU SUNUMU

Year 2020, Volume: 30 Issue: 3, 481 - 485, 15.07.2020

Gelengül Urvasızoğlu Yunus Emre Aşçl Gönül Koç

https://doi.org/10.17567/ataunidfd.637067

Cited By: 1

Abstract

Periferal ossifiye fibroma, genç ve erişkin yaştaki
kadın hastalarda görülen, sıklıkla anterior alanlarda meydana gelen reaktif diş
eti büyümesidir. Periferal ossifiye fibroma ağrısız seyreder ve semptom verene
kadar hekimler tarafından gözden kaçırılmaktadır. Periodontal ligamentten
kaynaklandığı düşünülmektedir ve %9 oranında diş etinin aşırı reaksiyonu
şeklinde oluşur. Zayıf yapılan restorasyonlar ve lokal irritasyonlar sebepleri
arasında gösterilmektedir. Bu lokal irritasyonlar arasında travma, dental plak,
diş taşı, mikroorganizmalar, diş protezi vardır. Klinik ve histopatolojik
olarak birçok benzerliğinin bulunması ve fibröz maturasyon ve daha sonra
meydana gelen kalsifikasyonlar sebebiyle bazı periferal ossifiye fibroma’ların
ilk olarak piyojenik granülomadan geliştiğine inanılmıştır. Bu olgu sunumunda,
38 yaşındaki kadın hastada, ağız içinde sağ mandibular premolar bölgede,  12
haftalık gebe iken farkedilen fakat daha sonra hastanın ihmal etmesi
üzerine dokunun fibroz doku yönünde olgunlaşması ile sert bir kıvam kazanan
şişliğin kilinik ve histopatolojik inceleme neticesinde periferal ossifiye
fibroma tanısının konması ve cerrahi tedavisi sunuldu.

Anahtar
Kelimeler: Periferal ossifiye fibroma, Kalsifikasyon, Piyojenik granüloma

Peripheral
ossifying fibroma developed from pyogenic granuloma: Case Report

 

ABSTRACT

Peripheral ossified fibromas are usually seen in
young and adult female patients, often in the anterior areas of the reactive
gingival enlargement. Peripheral ossifying fibromas are painless and are missed
by physicians until they give symptoms.It is thought to originate from the
periodontal ligament and occurs as an overreaction of 9% of the gum. Poor
restorations and local irritations are shown as reasons. These local
irritations include trauma, dental plaque, dental calculus, microorganisms,
dental prosthesis. It was believed that some peripheral ossifying fibroma
developed from pyogenic granulomas due to the presence of many similarities
clinically and histopathologically and with fibrous maturation and subsequent
calcifications. In this case report, a 38-year-old female patient was noticed
in the right mandibular premolar region in the mouth, while the lesion was 12
weeks pregnant.however, the lesion had a hard consistency with the maturation
of the fibrous tissue upon neglect of the patient.The diagnosis and surgical
treatment of peripheral ossified fibroma are presented as a result of clinical
and histopathological examination of the swelling.

Keywords: Peripheral
ossifying fibroma, calcification, pyogenic granuloma

Keywords

Periferal ossifiye fibroma, Kalsifikasyon, Piyojenik granüloma

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