Martelli-Júnior H, Mesquita R A, de Paula A M B, Pêgo S P B, Souza L N
Stomatology Clinic, Dental School, University of Montes Claros, UNIMONTES, Minas Gerais, Brazil.
Int J Paediatr Dent. 2006 Sep;16(5):376-9. doi: 10.1111/j.1365-263X.2006.00738.x.
The present paper reports a case of peripheral odontogenic fibroma (POF) (WHO type) in a newborn. The differential diagnosis and treatment were discussed.
POF is well described in the literature, but this is the first report in a newborn.
A 4-month-old female newborn was referred to our department because of an exophytic, sessile, firm, and well-delimited lesion on the right upper alveolar ridge. The covering mucosa was apparently normal. The lesion measuring 10 x 3 mm was present since birth. The clinical diagnosis of congenital granular cell tumour (congenital epulis) or dental lamina cyst of the newborn was made. A conservative excisional biopsy was performed under local anaesthesia, and the specimen was submitted to histopathological examination.
The microscopic examination revealed a pattern of POF (WHO type). Normal primary incisors teeth eruption, and no signs of recurrence were noted on 16 months follow-up.
Despite the rarity of POF in a newborn, this lesion should be included as a possible diagnosis to focal gingival growth.