Translate

Peripheral Odontogenic Fibroma

Peripheral Odontogenic Fibroma
Etiology • A benign proliferation neoplasm of fibroblastic and odonto-
genic epithelial origin
Clinical Presentation • Asymptomatic, firm, slow-growing mass of the attached gingiva • Overlying mucosa unremarkable and intact • Sessile growth pattern • Usually along facial or buccal aspect of gingiva • Calcifications may be present radiographically. • Underlying alveolar bone is spared. • Uncommon to rare • Also seen centrally (within bone)

Diagnosis • Fibrous to myxoid stromal tissue • Scattered islands and strands of odontogenic epithelium • Some cells may be vacuolated. • The degree of epithelial proliferation may vary from minimal
to prominent.
Differential Diagnosis • Peripheral giant cell granuloma • Pyogenic granuloma • Peripheral fibroma • Peripheral ameloblastoma
Treatment • Excision: local and conservative
Prognosis • Excellent