Electro-surgical management of a peripheral ossifying fibroma

Abstract

The gingiva is often the site of localized growths that are considered to be reactive rather than neoplastic in nature. One of these gingival lesions, seen rather infrequently, is peripheral ossifying fibroma (POF) a condition that predominantly affects women and is usually located in the anterior maxilla. The lesions are pink to red in colour, and firm to hard in consistency depending on their bone content. As enlargement occurs, they may become ulcerated. Concurrent poor oral hygiene and early periodontal disease are commonly seen. In most cases there is no underlying bone involvement evident on the radiograph. The definitive diagnosis is established by histological examination, which reveals the presence of cellular connective tissue with focal calcifications. Surgical excision is the treatment of choice, though the recurrence rate can reach 20%. This article presents a case of POF in a 14­year­old female, from whom the tumour was excised using electrosurgery.