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Research Article Open access CC BY 4.0

Peripheral Ossifying Fibroma in a Middle-aged Man: A Rare Occurrence

Jayaprasad Anekar, R. K. Palguni, B. Jayalakshmi, M. Thufailath, M. Seema

Asian Journal of Dental Sciences · pp. 226–232 · Published 2 Mar 2026

10.9734/ajds/2026/v9i1311

Abstract

Background: Peripheral ossifying fibroma (POF) is a relatively common reactive gingival lesion that presents diagnostic and management challenges due to its clinical similarity to other gingival proliferations and its tendency to recur. A case of a 50-year-old male patient who presented with a pedunculated gingival growth in the mandibular anterior region. The lesion measured 3×3 cm and was located on the interdental gingiva between teeth 42 and 43. Clinical examination revealed a firm, non-tender, vascular growth with a corrugated surface. Excisional biopsy was performed, and histopathological examination confirmed the diagnosis of peripheral ossifying fibroma. Conclusion: This case highlights the importance of histopathological examination in the definitive diagnosis of gingival proliferations. Despite its benign nature, POF requires complete excision and long-term follow-up due to its recurrence rate of 8-20%.

Peripheral ossifying fibroma gingival lesion reactive lesion excisional biopsy recurrence

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