Peripheral Ossifying Fibroma Occurring in the Mandibular Anterior region: A Rare Case

Authors: Dr Abhijeet Kishor Pawar

DOI: 10.18231/j.jsas.12549.1759899937

Keywords: Peripheral ossifying fibroma,Mandibular lesion,Reactive gingival growth

Abstract: Abstract Peripheral ossifying fibroma (POF) is a benign, reactive gingival overgrowth of periodontal ligament origin, typically seen in young females and commonly involving the anterior maxilla. It often presents as a slow-growing, firm, sessile or pedunculated mass on the interdental papilla and may be mistaken for other reactive lesions such as pyogenic granuloma or peripheral giant cell granuloma. This case report describes an uncommon presentation of POF in the anterior mandible of a 53-year-old male with a history of tobacco chewing and multiple recurrences over a 12-year period. Clinical, radiographic, and histopathological findings confirmed the diagnosis. Complete surgical excision, extraction of mobile teeth, and aggressive curettage were performed under general anesthesia. Postoperative follow-up showed satisfactory healing. This case highlights the importance of considering POF in the differential diagnosis of large gingival swellings, regardless of age and gender, and reinforces the need for complete excision and elimination of local irritants to prevent recurrence. Keywords: Peripheral ossifying fibroma, Mandibular lesion, Reactive gingival growth, Fibro-osseous lesion