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Peripheral cementifying fibroma: a clinical diagnostic dilemma.

Identifieur interne : 000247 ( Main/Exploration ); précédent : 000246; suivant : 000248

Peripheral cementifying fibroma: a clinical diagnostic dilemma.

Auteurs : Shikha Choubey [Inde] ; Naveen Reddy Banda ; Vanaja Reddy Banda ; Saket Vyawahare

Source :

RBID : pubmed:23674556

Descripteurs français

English descriptors

Abstract

The peripheral ossifying fibroma (POF) is a reactive gingival overgrowth occurring frequently in the anterior maxilla. It originates in the cells of the periodontal ligament and is more common in children and young adults. In the current article a case of gingival over growth, which was thought to be puberty-induced gingivitis was seen in the lower anterior maxillary gingiva. Histology of the excised tissue showed cellular, fibrous connective tissue stroma with calcified osseous calcifications indicative of POF. The definitive diagnosis is established only by histological examination, which revealed the presence of highly cellular connective tissue with focal calcifications. Surgery is the treatment of choice, though the recurrence rate can reach 20% in case of POF. After histological confirmation the recall and clinical evaluation protocol of POF varies due to its increased recurrence rate, which the general dentist should be aware of.

DOI: 10.1136/bcr-2013-009472
PubMed: 23674556
PubMed Central: PMC3669945


Affiliations:


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<name sortKey="Choubey, Shikha" sort="Choubey, Shikha" uniqKey="Choubey S" first="Shikha" last="Choubey">Shikha Choubey</name>
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<nlm:affiliation>Department of Pedodontics and Preventive Dentistry, SAIMS Dental College, Indore, Madhya Pradesh, India.</nlm:affiliation>
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<name sortKey="Vyawahare, Saket" sort="Vyawahare, Saket" uniqKey="Vyawahare S" first="Saket" last="Vyawahare">Saket Vyawahare</name>
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<term>Connective Tissue (metabolism)</term>
<term>Connective Tissue (pathology)</term>
<term>Female (MeSH)</term>
<term>Fibroma, Ossifying (diagnosis)</term>
<term>Fibroma, Ossifying (metabolism)</term>
<term>Fibroma, Ossifying (pathology)</term>
<term>Fibrosis (MeSH)</term>
<term>Gingiva (metabolism)</term>
<term>Gingiva (pathology)</term>
<term>Gingival Neoplasms (diagnosis)</term>
<term>Gingival Neoplasms (metabolism)</term>
<term>Gingival Neoplasms (pathology)</term>
<term>Gingivitis (diagnosis)</term>
<term>Humans (MeSH)</term>
<term>Maxilla (metabolism)</term>
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<term>Maxillary Diseases (pathology)</term>
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<term>Adolescent (MeSH)</term>
<term>Calcinose (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fibrome ossifiant (anatomopathologie)</term>
<term>Fibrome ossifiant (diagnostic)</term>
<term>Fibrome ossifiant (métabolisme)</term>
<term>Fibrose (MeSH)</term>
<term>Gencive (anatomopathologie)</term>
<term>Gencive (métabolisme)</term>
<term>Gingivite (diagnostic)</term>
<term>Humains (MeSH)</term>
<term>Maladies du maxillaire supérieur (anatomopathologie)</term>
<term>Maladies du maxillaire supérieur (diagnostic)</term>
<term>Maladies du maxillaire supérieur (métabolisme)</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (métabolisme)</term>
<term>Tissu conjonctif (anatomopathologie)</term>
<term>Tissu conjonctif (métabolisme)</term>
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<term>Tumeur de la gencive (diagnostic)</term>
<term>Tumeur de la gencive (métabolisme)</term>
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<term>Fibrome ossifiant</term>
<term>Gencive</term>
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Tissu conjonctif</term>
<term>Tumeur de la gencive</term>
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<term>Fibroma, Ossifying</term>
<term>Gingival Neoplasms</term>
<term>Gingivitis</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Fibrome ossifiant</term>
<term>Gingivite</term>
<term>Maladies du maxillaire supérieur</term>
<term>Tumeur de la gencive</term>
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<term>Connective Tissue</term>
<term>Fibroma, Ossifying</term>
<term>Gingiva</term>
<term>Gingival Neoplasms</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
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<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Fibrome ossifiant</term>
<term>Gencive</term>
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Tissu conjonctif</term>
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<term>Fibroma, Ossifying</term>
<term>Gingiva</term>
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<term>Maxillary Diseases</term>
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<term>Calcinosis</term>
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<term>Fibrosis</term>
<term>Humans</term>
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<term>Adolescent</term>
<term>Calcinose</term>
<term>Femelle</term>
<term>Fibrose</term>
<term>Humains</term>
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<div type="abstract" xml:lang="en">The peripheral ossifying fibroma (POF) is a reactive gingival overgrowth occurring frequently in the anterior maxilla. It originates in the cells of the periodontal ligament and is more common in children and young adults. In the current article a case of gingival over growth, which was thought to be puberty-induced gingivitis was seen in the lower anterior maxillary gingiva. Histology of the excised tissue showed cellular, fibrous connective tissue stroma with calcified osseous calcifications indicative of POF. The definitive diagnosis is established only by histological examination, which revealed the presence of highly cellular connective tissue with focal calcifications. Surgery is the treatment of choice, though the recurrence rate can reach 20% in case of POF. After histological confirmation the recall and clinical evaluation protocol of POF varies due to its increased recurrence rate, which the general dentist should be aware of.</div>
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<AbstractText>The peripheral ossifying fibroma (POF) is a reactive gingival overgrowth occurring frequently in the anterior maxilla. It originates in the cells of the periodontal ligament and is more common in children and young adults. In the current article a case of gingival over growth, which was thought to be puberty-induced gingivitis was seen in the lower anterior maxillary gingiva. Histology of the excised tissue showed cellular, fibrous connective tissue stroma with calcified osseous calcifications indicative of POF. The definitive diagnosis is established only by histological examination, which revealed the presence of highly cellular connective tissue with focal calcifications. Surgery is the treatment of choice, though the recurrence rate can reach 20% in case of POF. After histological confirmation the recall and clinical evaluation protocol of POF varies due to its increased recurrence rate, which the general dentist should be aware of.</AbstractText>
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<Citation>Pediatr Dent. 2001 May-Jun;23(3):245-8</Citation>
<ArticleIdList>
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</ArticleIdList>
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<Reference>
<Citation>J Oral Pathol. 1972;1(1):30-8</Citation>
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<ArticleId IdType="pubmed">4626993</ArticleId>
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<Citation>Oral Surg Oral Med Oral Pathol. 1987 Apr;63(4):452-61</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">3472146</ArticleId>
</ArticleIdList>
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<Citation>Dentomaxillofac Radiol. 2007 Mar;36(3):180-2</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">17463105</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>J Can Dent Assoc. 2008 Nov;74(9):809-12</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">19000465</ArticleId>
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