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

References

• 1. Bhaskar SN, Jacoway JR. Peripheral fibroma and peripheral fibroma with calcification: report of 376 cases. J Am Dent Assoc 1966; 73(6):1312–20.
• 2. Eversole LR, Rovin S. Reactive lesions of the gingiva. J Oral Pathol 1972; 1(1):30–8.
• 3. Gardner DG. The peripheral odontogenic fibroma: an attempt at clarification. Oral Surg Oral Med Oral Pathol 1982; 54(1):40–8.
• 4. Lee KW. The fibrous epulis and related lesions. Granuloma pyogenicum, ‘Pregnancy tumour’, fibro-epithelial polyp and calcifying fibroblastic granuloma. A clinico-pathological study. Periodontics 1968; 6(6):277–92.
• 5. Kumar SK, Ram S, Jorgensen MG, Shuler CF, Sedghizadeh PP. Multicentric peripheral ossifying fibroma. J Oral Sci 2006; 48(4):239–43.
• 6. Feller L, Buskin A, Raubenheimer EJ. Cemento-ossifying fibroma: case report and review of the literature. J Int Acad Periodontol 2004; 6(4):131–5.
• 7. Zain RB, Fei YJ. Fibrous lesions of the gingiva: a histopathologic analysis of 204 cases. Oral Surg Oral Med Oral Pathol 1990; 70(4):466–70.
• 8. Miller CS, Henry RG, Damm DD. Proliferative mass found in the gingiva. J Am Dent Assoc. 1990;121: 559-60.
• 9. Kenney JN, Kaugars GE, Abbey LM. Comparison between the peripheral ossifying fibroma and peripheral odontogenic fibroma. J Oral Maxillofac Surg 1989;47(4):378-82 10.Mishra MB, Bhishen KA, Mishra S. Peripheral ossifying fibroma. J Oral Maxillofac Pathol 2011;15(1):65-8.
• 11. Bodner L, Dayan D. Growth potential of peripheral ossifying fibroma. J Clin Periodontol 1987;14(9):551-4.
• 12. Bhaskar SN, Jacoway JR. Peripheral fibroma and peripheral fibroma with calcification: report of 376 cases. J Am Dent Assoc 1966;73(6):1312-20. 13. Poon CK, Kwan PC, Chao SY. Giant peripheral ossifying fibroma of the maxilla: report of a case. J Oral Maxillofac Surg 1995;53(6):695- 8
• 14. Günhan Ö. Oral ve Maksillofasiyal Patoloji, 1. baskı, İstanbul, Quintessence Yayıncılık; 2015. p.120-1 . 15. Farquhar, T., et al., Peripheral ossifying fibroma: a case report. J Can Dent Assoc, 2008. 74(9): p. 809-12.
• 16- Buchner A, Hansen LS. The histomorphologic spectrum of peripheral ossifying fibroma. Oral Surg Oral Med Oral Pathol 1987; 63(4):452–61.
• 17-Cuisia ZE, Brannon RB. Peripheral ossifying fibroma a clinical evaluation of 134 pediatric cases. Pediatr Dent 2001; 23(3):245–8.
• 18-Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 2nd ed. Philadelphia: WB Saunders Co; 2002. p. 451–2.
• 19-Zhang W, Chen Y, An Z, Geng N, Bao D. Reactive gingival lesions: a retrospective study of 2,439 cases. Quintessence Int 2007; 38(2):103–10.
• 20-Kumar SK, Ram S, Jorgensen MG, Shuler CF, Sedghizadeh PP. Çok merkezli periferik ossifiye fibroma. J Oral Sci. 2006; 48 : 239-43.
• 21. Kendrick F, Wagoner WF. Bir periferik ossifiye fibroma yönetme. ASDC J Dent Çocuk. 1996; 63 : 135–8.
• 22- Buchner A, Shnaiderman-Shapiro A, Vered M. Relative frequency of localized reactive hyperplastic lesions of the gingiva: A retrospective study of 1675 cases from Israel. J Oral Pathol Med 2010;39:631-8.
• 23-Hatipoğlu M , Tozoğlu S , Aytekin Z , Özbudak İ , Toru H . Periferial Odontojenik Fibroma: Nadir Bir Olgu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2016; 26 (4).
• 24-Dereci Ö, Akgün &, Celasun B, Öztürk A, Günhan &. Histological evaluation of the possible transformation of peripheral giant cell granuloma and peripheral ossifying fibroma: A preliminary study. Indian J Pathol Microbiol 2017;60:15-20