Peripheral ossifying fibroma (POF) represents a rare entity among the frequently encountered solitary gingival growths. It is a reactive benign lesion of connective tissue whose pathogenesis is idiopathic, but authors believe that inflammatory hyperplasia originating in the superficial periodontal ligament can cause POF occurrence. Indistinguishable clinical features of soft-tissue lesions make the diagnosis strenuous for clinicians. However, we can achieve a definitive diagnosis with the help of histological findings. The favorable therapy of POF is surgical excision of the lesion along with the underlying periosteum after eliminating all possible local contributing factors to reduce its recurrence. This article presents a case of POF in a 5-year-old Indian girl who reported painless swelling in the area of mandibular anterior and also discusses its clinical presentation, radiographic findings, histological features, diagnosis, and satisfactory clinical management.
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Siddiqui et al. (2024) studied this question.
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