Keywords
gingival overgrowth
histopathology
Abstract
Localised gingival overgrowth is commonly encountered in our practice. They can be histologically different such as the peripheral giant cell granuloma, giant cell fibroma, pyogenic granuloma or fibroma. A diagnosis based only on the clinical feature is difficult to make because of their similarity in clinical presentation with other gingival overgrowths. Therefore, histopathological examination is mandatory for making an accurate diagnosis that will ultimately help us to treat the underlying disease. This is a case report of Peripheral cemento-ossifying fibroma, which is a slow progressing and asymptomatic gingival growth until it causes noticeable deformity.
Keywords: Cemento-ossifying fibroma; gingival overgrowth; histopathology.
References
Zackheim HS, Pinkus H. Perifollicular Fibromas. Arch Dermatol. 1960; 82: 913-7.
Kenney JN, Kaugars GE, Abbey LM. Comparison between the peripheral ossifying fibroma and peripheral odontogenic fibroma. J Oral Maxillofac Surg. 1989 Apr;47 (4):378-82
Batsakis JG. Non-odontogenic tumours: clinical evaluation and pathology. In: Thawley SE, Panje WR, Batsakis JG, Lindberg RD, editors. Comprehensive management of head and neck tumours. 2nd ed. Philadelphia: WB Saunders Co; 1999.p.1641-2.
Cuisia ZE, Brannon RB. Peripheral ossifying fibroma-a clinical evaluation of 134 pediatric cases. Pediatr Dent. 2001 May-Jun; 23(3):245-8.
Endo Y, Uzawa K, Mochida Y, Nakatsuru M, Shiiba M, Yokoe H, et al. Differential distribution of glycosaminoglycans in human cementifying fibroma and fibro-osseous lesions. Oral Dis. 2003 Mar; 9(2):73-6.
Neville BW, Damm DD, Allen CM, Bouquot JE. In: Text book of oral and maxillofacial pathology.2nd ed. Philadelphia: WB Saunders Co;2004.p.451-2.
Marx RE, Stern D. In: Oral and maxillofacial pathology: a rational for diagnosis and treatment. Chicago: Quintessence; 2003. p.23-5.
Bhaskar SN, Levin MP. Histopathology of the human gingiva (study based on 1269 biopsies). J Periodontol. 1973 Jan; 44 (1):3-17.
Eversole LR, Leider AS, Nelson K. Ossifying fibroma: a clinicopathologic study of sixty-four cases. Oral Surg Med Oral Pathol. 1985 Nov; 60(5):505-11.
Kendrick F, Waggoner WF. Managing a peripheral ossifying fibroma. ASDC J Dent Child. 1996 Mar-Apr; 63(2):135-8.