A Rare Clinical Variant of Peripheral Ossifying Fibroma in A 9-Year-Old Child

Abstract

Peripheral ossifying fibroma (POF) is a focal exuberant nonneoplastic gingival overgrowth in the oral cavity and is a rare entity in children. The clinical presentation often mimics fibroma but can also resemble lipoma, peripheral giant cell granuloma, pyogenic granuloma or even peripheral ameloblastoma. The usual presentation is in the second and third decades of life, with the peak age being 29 years (Poonacha et al., 2010). This is a case report of a 9-year-old girl, who presented with a chief complaint of rapidly growing, pedunculated growth of tissue on the palatal aspect between the maxillary central incisors. An excisional biopsy was performed, and histopathological study confirmed the diagnosis of Peripheral Ossifying Fibroma (POF). No recurrence was observed during the one-year follow-up period. Failure to accurately diagnose this lesion could result in improper treatment and potentially poorer outcomes.