Peripheral ossifying fibroma
Peripheral ossifying fibroma | |
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Specialty | Dentistry |
A peripheral ossifying fibroma, also known as ossifying fibrous epulis, is “a gingival nodule which is composed of a cellular fibroblastic connective tissue stroma which is associated with the formation of randomly dispersed foci of mineralised products, which consists of bone, cementum-like tissue, or a dystrophic calcification. The lesion is considered part of an ossifying fibroma, but that is usually considered to be a
The term peripheral ossifying fibroma has been criticized as this lesion is not related to the
Signs and symptoms
The color of peripheral ossifying fibromas ranges from red to pink, and is frequently ulcerated.[2] It can be sessile or pedunculated with the size usually being less than 2 cm. Weeks or months may pass by before it is seen and diagnosed.[citation needed]
There is a
Peripheral ossifying fibromas appear microscopically as a combination of a mineralized product and fibrous proliferation. The mineralized portion may be bone, cementum-like, or dystrophic calcifications. Additionally, highly developed bone or cementum is more likely to be present when the peripheral ossifying fibroma has existed for a longer period of time.[citation needed]
Diagnosis
Diagnosis is based on clinical assessment and confirmed by histopathology.
Treatment
Treatment usually involves surgical removal of the lesion down to the bone.[2] If there are any adjacent teeth, they are cleaned thoroughly to remove any possible source of irritation. Surgical methods can be traditional, Nd:YAG laser or QMR scalpel. Recurrence is around 16%,[3] with some studies reporting up to 45%.[4] It is unclear if the rate of recurrence is influenced by the surgical technique used.[4]
References
- ^ ISBN 0443071063.
- ^ PMID 22215935.
- ISBN 1931884617)
- ^ PMID 3812836.