Gulati Ruchi, Khetarpal Shaleen, Ratre Madhu Singh, Solanki Mishthu
Department of Periodontology, Government College of Dentistry, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.
Department of Paediatric Dentistry, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.
J Indian Soc Periodontol. 2019 Mar-Apr;23(2):177-180. doi: 10.4103/jisp.jisp_431_18.
Peripheral ossifying fibroma (POF) represents a non-neoplastic, reactive lesion of gingiva. The precise etiopathogenesis of POF is unclear; however, it is suggested to originate from the connective tissue of periodontal ligament. This lesion predominantly occurs in the maxillary anterior region. The standard treatment protocol involves surgical excision followed by the biopsy of lesion. The reactive nature and unpredictable course attribute to a high recurrence rate of the lesion; hence, proper postoperative monitoring and follow-up of the lesion are necessary. The present case was surgically managed using diode laser and did not show any sign of recurrence during the follow-up period of 6 months. Minimum intraoperative bleeding and postoperative pain, ease of operation, and patient's acceptance enable laser-assisted growth excision as a better treatment modality to other conventional surgical procedures, thus offering diode laser as a viable and effective treatment alternative in the management of massive overgrowth.
外周骨化性纤维瘤（POF）是一种牙龈的非肿瘤性反应性病变。POF的确切病因尚不清楚；然而，据推测它起源于牙周膜的结缔组织。这种病变主要发生在上颌前部区域。标准治疗方案包括手术切除，随后对病变进行活检。其反应性本质和不可预测的病程导致该病变复发率较高；因此，对病变进行适当的术后监测和随访是必要的。本病例采用二极管激光进行手术治疗，在6个月的随访期内未出现任何复发迹象。术中出血少、术后疼痛轻、操作简便以及患者的接受度，使得激光辅助切除成为比其他传统手术方法更好的治疗方式，从而为二极管激光在治疗大量过度生长方面提供了一种可行且有效的治疗选择。
