Peripheral Ossifying Fibroma Removed by CO2 Laser: Case Report



Peripheral ossifying fibroma is classified as a non-neoplastic reactive proliferative process. It affects the gingiva almost exclusively, and this is one of the hypotheses of the etiopathogenesis of the lesion. Clinically, peripheral ossifying fibroma presents as an exophytic nodule or tumor mass; erythematous or pinkish in color; pedunculated or sessile base; smooth surface, or under trauma, it can be ulcerated, presenting painful symptoms. It can reach variable dimensions. Among the histopathological characteristics, it may present in the stroma, foci of calcified material that are sometimes visible radiographically. The lesion may be associated with periodontal diseases, poor oral hygiene, and the presence of dental calculus. The treatment of choice is surgical excision, and local irritating factors should be eliminated. The recurrence rate of the lesion is relatively high, around 20%, usually related to the persistence of local irritating factors. The purpose of this article is to present a case of peripheral ossifying fibroma in the buccal gingiva of the maxillary left molars, in a female patient with advanced periodontal disease, who underwent surgical excision with CO2 laser, due to abundant bleeding.

Keywords: Peripheral Ossifying Fibroma; Free Gingival Graft; Gingiva; Oral diagnosis; Oral pathology.

Citation: Mendonça MP, Risemberg RIS, Maltarollo TH, Shitsuka C, Pedron IG. “Peripheral Ossifying Fibroma Removed by CO2 Laser: Case Report”. SVOA Dentistry 2:5 (2021) Pages 203-207.