Peripheral Ossifying Fibroma: A Case Report Highlighting Clinical Features and Management Strategies

Peripheral ossifying fibroma (POF) is a common and non-neoplastic gingival growth thought to arise from the periodontal ligament. Clinically, it presents as a firm, smooth or slightly pebbled, pink to red, and occasionally ulcerated mass. The lesion occurs frequently in the maxillary anterior region of young adults, with the most common age of occurrence in the second and third decades. POF comprises about 9.6 % of all gingival lesions, with a strong female predilection (73%). We present a 17-year-old male with a painless gingival swelling between the maxillary central incisors who underwent excisional biopsy of the lesion under local anesthesia. Following excisional biopsy, a diagnosis of POF was confirmed by histopathological examination. A comprehensive review of the literature was also conducted to analyze the clinical and pathological characteristics of POF.