Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 113–116
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PERIPHERAL OSSIFYING FIBROMA IN THE MANDIBLE: AN UNCOMMON PRESENTATION WITH CLINICAL IMPLICATIONS

Received: 2026-04-08 · Published: 2025-09-26

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Original title
PERIPHERAL OSSIFYING FIBROMA IN THE MANDIBLE: AN UNCOMMON PRESENTATION WITH CLINICAL IMPLICATIONS
Author
Prarthana Sudeep
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-09-26
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.9-113

Abstract

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.
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