Peripheral Ossifying Fibroma Definition, Symptoms, Causes, Treatment

Peripheral ossifying fibroma is a condition of gums in which the gums get swollen. It is benign in nature. It most commonly occur in young adults and teenagers. The periodontal ligaments are involved in the formation of this peripheral ossifying fibroma. It is classified in the two forms i.e. either as a benign neoplasm or as reactive hyperplasia. There is a great confusion in the terminology defining peripheral ossifying fibroma. Sometimes it is mixed up with peripheral odontogenic fibroma but it is another condition.

There is another term used to define peripheral ossifying fibroma which is peripheral cemento ossifying fibroma. Peripheral cemento ossifying fibroma is different from Central cemento ossifying fibroma as it is the tumor of the bone. The clinical presentation of peripheral ossifying fibroma resembles a lot to the commonly occurring lesions in mouth. So it's diagnosis is a bit difficult. Skin biopsy and pathological examination confirms it's presence. The pathological reports shows the presence of cement, bone and calcium deposits in the connective tissue of cells. The underlying jaw bone is rarely involved and rarely show in x-ray reports. It is a common condition which may occur to anyone there is not any gander preference.

Peripheral Ossifying Fibroma Definition, Symptoms, Causes, Treatment

Peripheral Ossifying Fibroma Symptoms


It is an oral cavity pathological condition in which the gums become swollen. It usually occurs on the upper jaw line in between front teeth. Peripheral ossifying fibroma may be pink or red in color. The surface of fibroma may be smooth or irregular pebbled one. The lessons may be small or very large in size. It may be ulcerative or not. Commonly the peripheral ossifying fibroma is red in color and is ulcerative. The lump of fibroma grown outward and is less than 2 cm. It is slow growing and may take months or even years to be visible enough for treatment.


Peripheral Ossifying Fibroma Causes


The actual cause behind the development of peripheral ossifying fibroma is unknown. But there are some factors which contribute to it's development. These factors include hormonal disturbance. As it commonly affects women as compared to men, so hormonal disturbance may trigger it's development. Any kind of trauma is also a cause. The irritation on the gums due to prosthesis, accumulation of plaque and dental restoration also leads to the development of peripheral ossifying fibroma. Calculus formation right under the gums is also the contributing factor towards it's development.

Peripheral Ossifying Fibroma Treatment


Before starting treatment of peripheral ossifying fibroma, the diagnosis is an important part. For diagnosis, the excised part of fibroma is sent for examination. Teeth are rarely extracted. In addition to this, the predisposing factors like plaque and calculus formation should be treated. Dental prosthesis should also be treated because it leads to irritation and ultimately forms peripheral ossifying fibroma. The occurrence rate of this fibroma is 20 percent and it may re-occurrence within the 12 months of excision. In case of no surgery, the lesions may become larger in size and makes the condition worse.

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