PERIPHERAL OSSIFYING FIBROMA IN THE MANDIBLE: AN UNCOMMON PRESENTATION WITH CLINICAL IMPLICATIONS

Background: Peripheral ossifying fibroma (POF) is a reactive gingival lesion arising from the periodontal ligament. It
commonly affects younger patients and usually occurs in the maxillary anterior region. Occurrence in the mandible of
an elderly patient is rare.
Objectives: This case report aims to describe the clinical presentation, histopathological confirmation, and
management of an uncommon mandibular POF, emphasizing the need for early diagnosis and follow-up due to its
recurrence potential.
Materials and Methods: An elderly male patient presented with a painless, pale pink, firm, sessile gingival growth in
the left mandibular premolar region. Clinical examination, surgical excision, and histopathological analysis were
performed to establish the diagnosis.
Results: The excised lesion was confirmed as POF on histopathology. Postoperative healing was uneventful. The
patient was placed under regular follow-up to monitor for recurrence, given the lesion’s known tendency to reappear.
Conclusion: This case highlights an atypical occurrence of POF in the mandibular premolar region of an elderly
patient. Awareness of such unusual presentations assists in accurate diagnosis, appropriate surgical management, and
prevention of recurrence through careful long-term follow-up.