International Journal of Clinical Case Reports, 2016, Vol.6, No.15, 1-9
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Figure 1 a
Pre-operative labial view revealing swelling in the inter-dental papilla in the 31, 32 region
Figure 1 b
Pre-operative lingual view revealing swelling in the inter-dental papilla in the 31, 32 regions
Figure 1 c
Incisal view revealing spacing between 31 and 32; local factors seen on the teeth related to the lesion
2.1 Bleeding on probing present
There were no ulcerations seen with the lesion. Local factors were seen in relation to the teeth in and around
the lesion (Figure 1 c).
Intra-oral peri-apical radiograph (IOPAR) revealed spacing between 31 and 32 regions. (Figure 1 d) routine blood
investigations were found to be normal. Serum alkaline phosphatase and serum calcium and phosphorus levels
were also found to be within normal limits. Considering the past history and present clinical and radiographic
findings, a provisional diagnosis of Peripheral Ossifying Fibroma was given with Peripheral Giant Cell
Granuloma, Peripheral Fibroma and Pyogenic Granuloma as the possible differential diagnoses. A thorough
treatment was planned to get the best possible results. Treatment started with non-surgical periodontal therapy
including a thorough scaling and root planning and the patient was put on maintenance phase.
