Management of a Giant Peripheral Ossifying Fibroma of the Anterior Maxillary Gingival Region

undergo metaplastic changes into osteoblasts, cementoblasts, or fibroblasts.It develops in reaction to irritants such as dental calculus, plaque, microorganisms, dental appliances, and restorations.Although it can occur at any age, it typically peaks between the second and third decades of life.About 60% of these growths appear in the maxilla, with over half of maxillary POF cases observed near the incisors and canine regions. 1 Clinically, POF manifests as a small, clearly defined growth on the gingiva, often with a base that can be either sessile or pedunculated.It typically arises from the interdental papilla.In most cases, radiographs do not reveal any noticeable involvement of the underlying bone with POF.However, in rare instances, there may be slight erosion of the bone surface.The recurrence rate of POF is considered relatively high for a benign reactive proliferation. 4 A healthy 55-year-old woman presented with an overgrowth in her upper front teeth region that she had noticed 1.5 years ago.Initially, as reported by the patient, the growth was small in size, and it gradually increased in size over the past 11-12 months, leading to mild difficulty with lip closure and biting.There were no other symptoms reported.Her medical history was noncontributory, and vital signs were within the normal limits.Upon intraoral examination, a solitary sessile, poorly defined intraoral growth was identified in relation to tooth numbers 11, 12, and 13, measuring approximately 2.8 × 3 cm (Fig. 1).The growth 1,