A novel approach for the treatment of peripheral ossifying fibroma: A case report with 1-Year follow-up

Abstract

Peripheral ossifying fibroma (POF) is a nonneoplastic enlargement of the gingiva precipitated by local irritation and minor trauma. POF represents 9.6% of all gingival tumors and 3.1% of the oral lesions which are biopsied. Dental calculus, plaque, microorganisms, dental appliances, and restorations are considered to be examples of etiological factors. A 38-year-old female patient presented with a chief complaint of swelling in her upper front teeth region for 6 months. Examination revealed a nontender oval, sessile growth with respect to tooth number 21, 22 region, measuring approximately 2 cm × 1.5 cm × 1.5 cm in size with a pinkish red overlying mucosa without any ulcerations. Palpation revealed a sessile base with firm consistency. Based on these clinical, radiological, and histopathological findings a final diagnosis of POF with respect to 21, 22 region was made. The treatment consisted of scaling and root planning followed by complete excision of the lesion using a combination technique of using both surgical scalpel and diode laser. The patient was followed up for 1 year and there were no signs of recurrence. This case of excision with the combination of scalpel and laser and the absence of recurrence over a period of 1 year makes this novel approach a promising treatment option.