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Peripheral Ossifying Fibroma: A Case Report

Year 2012, Volume: 39 Issue: 1 - Volume: 39 Issue: 1, 27 - 30, 01.02.2012

Abstract

Peripheral ossifying fibroma represents a reactive benign lesion frequently occurring in anterior parts of jaws of young females exclusively on gingiva. A 32-year old woman referred to our peridontology clinic at Ankara University Faculty of Dentistry with a complaint of swollen gingiva. Her medical history and extraoral examination were insignificant. The patient stated that the lesion appeared one month ago and was gradually enlarging. Our intraoral examination revealed a swollen lesion on the papilla of teeth number 21-22. The periodontal status was mild gingivitis with calcified depositions on the lingual site of mandibular incisors. After thoroughly debridment of the dentition, under local anesthesia the lesion with the diamensions of 0.7x0.8x0.6 cm was completely excised including the underlying periosteum and submitted for histological analysis. Histopat-hological examination of this tissue suggested that it was a peripheral ossifying fibroma. We recorded no recurrence on her postoperative sixth month visit. Further visits considering the follow up of recurrence is necessary.

References

  • 1. Poonacha KS, Shigli AL, Shirol D. Peripheral ossifying fibroma: A clinical report. Contemp Clin Dent. 2010; 1: 54-6.
  • 2. Kfir Y, Buchner A, Hansen LS. Reac-tive lesions of the gingiva. A clinicopathologic study of 741 cases. J Periodontol 1980; 51: 655-61.
  • 3. Layfield LL, Shopper TP, Weir JC. A diagnostic survey of biopsied gingival lesions. J Dent Hyg 1995; 69: 175-9.
  • 4. Eversole LL, Rovin S. Reactive lesions of the gingiva. J Oral Pathol 1972; 1: 30-8.
  • 5. Bhaskar SN, Jacoway JR. Peripheral fibroma and peripheral fibroma with calcification: Report of 376 cases. J Am Dent Assoc 1966; 73: 1312-20.
  • 6. Zain RB, Fei YJ. Fibrous lesions of the gingiva: A histological analyses of 204 cases. Oral Surg Oral Med Oral Pathol 1990;70: 466-70.
  • 7. Buchner A, HAnesen LS. The histomorpologic spectrum of peripheral ossif-ying fibroma. Oral Surg Oral Med Oral Pathol 1987; 63: 452-61.
  • 8. Chui-Kwan P, Po-Cheung K, Shou-Yee C. Giant peripheral ossifying fibroma of the maxilla: Report of a case. J Oral Maxillofac Surg 1995; 53: 695-98.
  • 9. Tokman B, Şengüven B, Türkseven MR. Periferal Ossifiye Fibrom: 50 Vakalık Seride Klinik Ve Histopatolojik Değerlendirme. A Ü Diş Hek Fak Derg 2005; 32: 1-7.
  • 10. Gardner DG. The peripheral odontogenic fibroma: An attempt to classifi-cation. Oral Surg Oral Med Oral Pathol 1982; 54: 40-8.
  • 11. Orkin DA, Amaidus VO. Ossifying fibrous epulis: An abbreviated case report. Oral Surg Oral Med Oral Pathol 1984; 57: 147-48.
  • 12. Abitbol TE, Santi E. Peripheral ossifying fibroma – Literature update and clinical case. Periodont Clin Invest 1997; 19: 36-7.
  • 13. Epivatianos A, Antoniades D, Zaraboukas T, Zairi E, Poulopoulos A, Kiziri-dou A, Iordanidis S..Pyogenic granuloma of the oral cavity: Comparative study of its clinicopathological and immunohistochemical features. Pathol Int 2005; 55: 391-7.
  • 14. Sahingur SE, Cohen RE, Aguirre A. Esthetic management of peripheral giant cell granuloma. J Periodontol 2004; 75: 487-92.
  • 15. Dunlap CL. Odontogenic fibroma. Semin Diagn Pathol 1999;16:293-96.
  • 16. Hirshberg A, Buchner A. Metastatic tumors of the oral region - An overview. Eur J Cancer B Oral Oncol. 1995; 31: 355–60.

Periferal ossifiye fibrom: Bir olgu sunumu

Year 2012, Volume: 39 Issue: 1 - Volume: 39 Issue: 1, 27 - 30, 01.02.2012

Abstract

Periferal ossifiye fibrom sıklıkla genç kadınlarda çenelerin anterior bölgesinde dişeti üzerinde oluşan reaktif benign bir lezyondur. 32 yaşındaki sistemik olarak sağlıklı kadın hasta dişetinde şişlik şikayetiyle Ankara Üniversitesi Diş Hekimliği Fakültesine başvurmuştur. Periodontal tedavisinin yapılması ve dişetindeki şişliğin değerlendirilmesi amacıyla da kliniğimize yönlendirilmiştir. Ekstraoral muayenesinde herhangi bir anomali izlenmedi. Yapılan klinik muayene sonucu mandibuler anterior lingual bölgedeki tartır birikimi dışında periodontal sorunu olmadığı ve 21- 22 no’lu dişler bölgesinde papili içine alan bir şişlik olduğu görüldü. Hastadan alınan anamnezde bu şişliğin yaklaşık 1 ay önce oluştuğu ve gittikçe büyüdüğü öğrenildi. Detertraj işleminden sonra lokal anestezi altında 0.7x0.8x0.6 cm boyutlarındaki kitle altındaki periostu da içerecek şekilde tümüyle çıkarılarak patoloji kliniğine gönderildi. Histopatolojik olarak periferal ossifiye fibrom tanısı kondu. Hastanın sonraki takiplerinde yapılan klinik muayenede 21-22 no’lu dişler bölgesindeki şişlikte rekürrens olmadığı görüldü ve ağız içerisinde herhangi bir patolojiye rastlanmadı. Daha ileri takipleri için randevu verildi.

References

  • 1. Poonacha KS, Shigli AL, Shirol D. Peripheral ossifying fibroma: A clinical report. Contemp Clin Dent. 2010; 1: 54-6.
  • 2. Kfir Y, Buchner A, Hansen LS. Reac-tive lesions of the gingiva. A clinicopathologic study of 741 cases. J Periodontol 1980; 51: 655-61.
  • 3. Layfield LL, Shopper TP, Weir JC. A diagnostic survey of biopsied gingival lesions. J Dent Hyg 1995; 69: 175-9.
  • 4. Eversole LL, Rovin S. Reactive lesions of the gingiva. J Oral Pathol 1972; 1: 30-8.
  • 5. Bhaskar SN, Jacoway JR. Peripheral fibroma and peripheral fibroma with calcification: Report of 376 cases. J Am Dent Assoc 1966; 73: 1312-20.
  • 6. Zain RB, Fei YJ. Fibrous lesions of the gingiva: A histological analyses of 204 cases. Oral Surg Oral Med Oral Pathol 1990;70: 466-70.
  • 7. Buchner A, HAnesen LS. The histomorpologic spectrum of peripheral ossif-ying fibroma. Oral Surg Oral Med Oral Pathol 1987; 63: 452-61.
  • 8. Chui-Kwan P, Po-Cheung K, Shou-Yee C. Giant peripheral ossifying fibroma of the maxilla: Report of a case. J Oral Maxillofac Surg 1995; 53: 695-98.
  • 9. Tokman B, Şengüven B, Türkseven MR. Periferal Ossifiye Fibrom: 50 Vakalık Seride Klinik Ve Histopatolojik Değerlendirme. A Ü Diş Hek Fak Derg 2005; 32: 1-7.
  • 10. Gardner DG. The peripheral odontogenic fibroma: An attempt to classifi-cation. Oral Surg Oral Med Oral Pathol 1982; 54: 40-8.
  • 11. Orkin DA, Amaidus VO. Ossifying fibrous epulis: An abbreviated case report. Oral Surg Oral Med Oral Pathol 1984; 57: 147-48.
  • 12. Abitbol TE, Santi E. Peripheral ossifying fibroma – Literature update and clinical case. Periodont Clin Invest 1997; 19: 36-7.
  • 13. Epivatianos A, Antoniades D, Zaraboukas T, Zairi E, Poulopoulos A, Kiziri-dou A, Iordanidis S..Pyogenic granuloma of the oral cavity: Comparative study of its clinicopathological and immunohistochemical features. Pathol Int 2005; 55: 391-7.
  • 14. Sahingur SE, Cohen RE, Aguirre A. Esthetic management of peripheral giant cell granuloma. J Periodontol 2004; 75: 487-92.
  • 15. Dunlap CL. Odontogenic fibroma. Semin Diagn Pathol 1999;16:293-96.
  • 16. Hirshberg A, Buchner A. Metastatic tumors of the oral region - An overview. Eur J Cancer B Oral Oncol. 1995; 31: 355–60.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ceren Su Akgun This is me

Fatma Böke This is me

Gulden Eres This is me

Emre Barıs This is me

Publication Date February 1, 2012
Published in Issue Year 2012 Volume: 39 Issue: 1 - Volume: 39 Issue: 1

Cite

Vancouver Akgun CS, Böke F, Eres G, Barıs E. Periferal ossifiye fibrom: Bir olgu sunumu. EADS. 2012;39(1):27-30.