International Journal of Clinical Case Reports, 2016, Vol.6, No.15, 1-9
8
(usually an interdental area) (Shetty et al., 2011) In the above mentioned case report, no clinical signs of
recurrence after 1 year of follow-up were seen.
Table 1: Showing data on differentiating features regarding various pathologies
4 Conclusion
POF is a slowly progressing lesion. Many cases will progress for long periods before patients seek treatment
because of the lack of symptoms associated with the lesion. A slow growing pink soft tissue nodule in the gingival
region should raise suspicion of a POF. Treatment consists of surgical excision, including the periosteum, and
scaling of adjacent teeth. Close post-operative follow-up is required because of the growth potential of the
incompletely removed lesions and a high recurrence rate.
References
Babu B.K., Kalwa P., and Naag S., 2010 Kumar A.P., Peripheral ossifying fibroma. Ker Dent J; 33: 219-221
Patil K.P., Kalele K.P., and Kanakdande V.D., 2014, Peripheral giant cell granuloma: Comprehensive review of an ambiguous lesion. J. Int. Clin. Dent. Res. Org.
6: 118-125
Kale L., Khambete N., and Sodhi S., 2014, Sonawane S., Peripheral ossifying fibroma: Series of five cases, J. Ind. Soc. Perio., 18: 527-530
, PMid:25210274 PMCid:PMC4158601
Reddy G.V., Reddy J., Ramlal G., and Ambati M., 2011, Peripheral ossifying fibroma: Report of two unusual cases. Indian J. Stomatol, 2: 130-133
Mohiuddin K., Priya N.S., Ravindra S., and Murthy S. 2013, Peripheral ossifying fibroma. Journal of Indian Society of Periodontology 17: 507-509
Oral pyogenic
granuloma
Párulis
Peripheral
odontogenic fibroma
Hemangiopericytoma Peripheral giant cell
granuloma
Metastatic carcinomas
Soft, friable
nodule, that bleeds
readily with slight
provocation
Associated with
an entrapped
foreign body, a
gingival pocket
or a non-vital
tooth
Clinically similar to
POF
Fast growing tumors with
a characteristic bluish red
color
Slight predilection of
for the maxillary
arch and frequently
observed in the
incisor-cuspid region
When localized in the
gingiva, may provoke
irregular bone
destruction below the
exophytic lesion
Difficult to
differentiate
clinically from
POF,
histopathology is a
must.
Characterized
by presence of
pain and
purulent
exudates with
fluctuation in
the lesion
Histologically defined
as a fibroblastic
neoplasm
containing
odontogenic
epithelium
No age or gender
predilection
Radiographs of
certain lesions may
show radiopaque
calcifications at the
center of the lesion
Consistency hard and
margins indurated
Brisk bleeding,
increased warmth of
the tissue and
blanching upon
palpation
characteristic of this
vascular entity
Hemangiopericytomas do
not have any specific
radiological
characteristics. They may
be either lytic or may
represent focal sclerosis.
Histological
picture establishes
confirmatory
diagnosis
Patient gives history of
previous malignancy
Histology of the tumor
shows branching irregular
vascular spaces giving a
characteristic ‘staghorn’
appearance to the
histology of these tumors.
