Peripheral Ossifying Fibroma: Series of Three Cases

Abstract

Peripheral ossifying fibroma (POF) is a reactive soft tissue growth that predominantly affects females and usually seen on the interdental papilla. Its color ranges from pale pink to cherry red, and it might have a smooth surface or a broad base with pedunculation. This study’s purpose is to evaluate and compare three different POF cases with histopathological and radiological examination. Two female and one male patients of different ages came to our clinic with a complaint of asymptomatic, soft tissue growths in the anterior region of the interdental papillae area. The lesions were surgically excised and sent for histopathological examination which confirmed the diagnosis of POF. Even though the etiology of the POF is unclear, trauma or local irritation such as plaque, calculus, ill-fitting dental appliances, and poor-quality dental restorations are all known to precipitate the development of POF. Dentists should consider clinical differential diagnoses such as pyogenic granuloma, fibroma, and peripheral odontogenic fibroma.

Keywords

• differential diagnosis
• peripheral ossifying fibroma
• oral diagnosis
• histopathologic evaluation

Periferal Ossifiye Fibroma: Üç olgu sunumu

Abstract

Periferal ossifiye fibroma (POF), ağırlıklı olarak kadınları etkileyen ve genellikle interdental papillada görülen reaktif bir yumuşak doku büyümesidir. Rengi soluk pembeden kiraz kırmızısına kadar değişir ve pürüzsüz bir yüzeye veya saplı geniş bir tabana sahip olabilir. Bu çalışmanın amacı üç farklı POF vakasını histopatolojik ve radyolojik incelemelerle değerlendirmek ve karşılaştırmaktır. Farklı yaşlarda iki kadın ve bir erkek hasta kliniğimize interdental papilla alanının anterior bölgesinde asemptomatik, yumuşak doku büyümeleri şikayeti ile geldi. Lezyonlar cerrahi olarak eksize edildi ve POF tanısını doğrulayan histopatolojik incelemeye gönderildi. POF'un etiyolojisi net olmamakla birlikte, plak, diş taşı, iyi oturmayan protezler ve uyumsuz diş restorasyonları gibi travma veya lokal irritasyonun POF gelişimini hızlandırdığı bilinmektedir. Diş hekimleri pyojenik granülom, fibroma ve periferal odontojenik fibroma gibi klinik ayırıcı tanıları göz önünde bulundurmalıdır.

Keywords

• ayırıcı tanı
• periferal ossifiye fibroma
• oral diagnoz
• histopatolojik değerlendirme

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