Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases

Peripheral ossifying fibroma (POF) is a benign swelling of the gingival connective tissue commonly associated with dental biofilm and biofilm-retentive dental appliances. In the present case report, we described three cases of POF with different clinical presentations and treatment approaches. The t...

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Main Authors: Karo Parsegian, Roger M. Arce, Nikola Angelov
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2024/3683561
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author Karo Parsegian
Roger M. Arce
Nikola Angelov
author_facet Karo Parsegian
Roger M. Arce
Nikola Angelov
author_sort Karo Parsegian
collection DOAJ
description Peripheral ossifying fibroma (POF) is a benign swelling of the gingival connective tissue commonly associated with dental biofilm and biofilm-retentive dental appliances. In the present case report, we described three cases of POF with different clinical presentations and treatment approaches. The treatment consisted of the removal of supra- and subgingival calculus, followed by a flap surgery with excision of the entire lesion ensuring the inclusion of the periosteal bed. The first patient developed POF during her pregnancy that remained clinically noticeable postpartum. The second case represented a rare case of POF appearing on the palatal aspect of the anterior maxilla of an African American male. The third case represented POF that developed on the mandible, and contrary to the first two cases, it was excised using a diode laser and not a scalpel blade. All patients showed uneventful healing during follow-up appointments; however, poor patient compliance did not allow for evaluation of long-term healing responses and possible recurrence of the lesion. Within the limitations of this clinical report, it is evident that the periodontal surgical approach was effective in managing POF with stable short-term clinical outcomes.
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spelling doaj-art-08ec1076e4d042d7808f8aeaab16e6042025-02-03T05:55:27ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/2024/3683561Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three CasesKaro Parsegian0Roger M. Arce1Nikola Angelov2Division of PeriodonticsDepartment of Periodontics and Dental HygieneDepartment of Periodontics and Dental HygienePeripheral ossifying fibroma (POF) is a benign swelling of the gingival connective tissue commonly associated with dental biofilm and biofilm-retentive dental appliances. In the present case report, we described three cases of POF with different clinical presentations and treatment approaches. The treatment consisted of the removal of supra- and subgingival calculus, followed by a flap surgery with excision of the entire lesion ensuring the inclusion of the periosteal bed. The first patient developed POF during her pregnancy that remained clinically noticeable postpartum. The second case represented a rare case of POF appearing on the palatal aspect of the anterior maxilla of an African American male. The third case represented POF that developed on the mandible, and contrary to the first two cases, it was excised using a diode laser and not a scalpel blade. All patients showed uneventful healing during follow-up appointments; however, poor patient compliance did not allow for evaluation of long-term healing responses and possible recurrence of the lesion. Within the limitations of this clinical report, it is evident that the periodontal surgical approach was effective in managing POF with stable short-term clinical outcomes.http://dx.doi.org/10.1155/2024/3683561
spellingShingle Karo Parsegian
Roger M. Arce
Nikola Angelov
Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases
Case Reports in Dentistry
title Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases
title_full Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases
title_fullStr Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases
title_full_unstemmed Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases
title_short Surgical Periodontal Management of Peripheral Ossifying Fibroma: A Series of Three Cases
title_sort surgical periodontal management of peripheral ossifying fibroma a series of three cases
url http://dx.doi.org/10.1155/2024/3683561
work_keys_str_mv AT karoparsegian surgicalperiodontalmanagementofperipheralossifyingfibromaaseriesofthreecases
AT rogermarce surgicalperiodontalmanagementofperipheralossifyingfibromaaseriesofthreecases
AT nikolaangelov surgicalperiodontalmanagementofperipheralossifyingfibromaaseriesofthreecases