Peripheral Cemento Ossifying Fibroma – A Case Report - Peripheral Cemento Ossifying Fibroma – A Case Report - Open Access Pub

Introduction: Cemento-ossifying fibroma is is a reactive lesion arising from the soft tissues (gingiva). Case report: A 13-year-old boy presented with the complaint of lump in mandibular right posterior region on the lingual side since a month. The patient presented no symptoms and had no medical history of interest. The lesion was excised and submitted for histopathological evaluation, which gave a diagnosis of peripheral cemento-ossifying fibroma. Discussion: Periheral Cemento-ossifying fibromas are slow-growing lesions, and are more frequent in women between the second and third decades of life. Although the underlying cause is not known, there have been reports of the lesion developing after irritation/ trauma in the concerned area. Due to the good delimitation of the tumor, surgical removal and curettage is the treatment of choice. Cemento-ossifying fibroma is is a reactive lesion arising from the soft tissues (gingiva). A 13-year-old boy presented with the complaint of lump in mandibular right posterior region on the lingual side since a month. The patient presented no symptoms and had no medical history of interest. The lesion was excised and submitted for histopathological evaluation, which gave a diagnosis of peripheral cemento-ossifying fibroma. Periheral Cemento-ossifying fibromas are slow-growing lesions, and are more frequent in women between the second and third decades of life. Although the underlying cause is not known, there have been reports of the lesion developing after irritation/ trauma in the concerned area. Due to the good delimitation of the tumor, surgical removal and curettage is the treatment of choice. DOI10.14302/issn.2473-1005.jdoi-16-1146 Peripheral cement ossifying fibroma (PCOF) accounts for 3.1 % of all oral tumors and for 9.6% of gingival lesions.1, 2 Due to their clinical and histopathological similarities, some PCOFs are believed to develop initially as a pyogenic granuloma that undergoes fibrous maturation and subsequent calcification. The mineralized product originates from periosteal cells or from the periodontal ligament.3 In 1872, Menzel gave the first description of a variant of ossifying fibroma, calling it a cemento-ossifying fibroma, in a 35-year-old woman with a long-standing large tumor of the mandible.4Gardner(1982)recommended that the term PCOF be used to describe a common, non-neoplastic lesion that shows histopathological characteristics of a fibrous cellularized stroma containing a variety of mineralized material, differentiating it from peripheral odontogenic fibroma which is characterized by