Dare Sneha, Bajaj Pavan, Shirbhate Unnati, Thakre Shivani, Tehzeeb Husna
Department of Periodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Oct 4;16(10):e70818. doi: 10.7759/cureus.70818. eCollection 2024 Oct.
One of the most frequent conditions found in the oral cavity includes reactive lesions. Peripheral ossifying fibroma (POF) is a prevalent condition characterized by an overgrowth, originating from the gingival tissue, periodontal ligament, and periosteum. The condition manifests as a small mucosal nodule and can be difficult to accurately identify since it resembles other lesions. Chronic irritation and trauma are considered to be etiological agents. It is more prevalent in females and typically impacts the anterior region of the maxilla and mandible. The recommended therapy for POF involves surgical excision and eliminating any factors that may be causing irritation in the affected area. It can grow significantly if not surgically removed early. Treatment is necessary to prevent recurrence. It can be misdiagnosed due to overlapping features with other lesions. Correct biopsy technique and histopathological evaluation are crucial for accurate diagnosis. This case report illustrates the management of gingival overgrowth in an 18-year-old female patient after comprehensive clinical evaluation by using conventional surgical excision with the help of a scalpel. The final diagnosis of POF was confirmed using histopathologic evaluation. The treatment led to favorable outcomes in the patient regarding mastication, speech, and esthetics.
口腔中最常见的病症之一包括反应性病变。外周骨化性纤维瘤(POF)是一种常见病症,其特征是起源于牙龈组织、牙周韧带和骨膜的过度生长。该病症表现为一个小的黏膜结节,由于它与其他病变相似,可能难以准确识别。慢性刺激和创伤被认为是病因。它在女性中更为普遍,通常影响上颌骨和下颌骨的前部区域。POF的推荐治疗方法包括手术切除,并消除可能在受影响区域引起刺激的任何因素。如果不及早手术切除,它可能会显著生长。为防止复发,治疗是必要的。由于与其他病变有重叠特征,它可能会被误诊。正确的活检技术和组织病理学评估对于准确诊断至关重要。本病例报告展示了一名18岁女性患者在经过全面临床评估后,借助手术刀采用传统手术切除治疗牙龈过度生长的过程。通过组织病理学评估确诊为POF。该治疗在患者的咀嚼、言语和美观方面产生了良好效果。