A Rare Case Of Recurrent Peripheral Ossifying Fibroma: A Case Report

In the oral cavity, gingival growth is one of the most commonly encountered lesions, most of these lesions are benign, but some do have malignant potential. Peripheral ossifying fioma (POF) is a benign neoplasm that usually develops from reactive gingival overgrowth. Microscopically, the tumour shows stratified squamous epithelium and highly cellular fious stroma, sparse endothelial proliferation with fioblasts and dystrophic calcifications. It has to be differentiated histopathologically from pyogenic granuloma, fioma, peripheral giant cell granuloma, peripheral odontogenic fioma and fious hyperplasia. This report presents a case of gingival overgrowth in a 56-year-old woman which reoccurred for 4th time. Treatment included excision of the gingival growth and also extraction of the tooth in relation to the growth as it presented with cervical caries and root resorption.Based on histopathological examination a definitive diagnosis of POF was established.

Evaluation of the efficacy of a probiotic drink containing Lactobacillus casei on the levels of periodontopathic bacteria in periodontitis: A clinico‑microbiologic study.

Background and Objectives: This study was designed to evaluate whether the oral administration of lactobacilli could change the bacterial population in subgingival plaque. Subjects and Methods: Forty‑two healthy volunteers with chronic generalized mild to moderate periodontitis were given a probiotic drink containing Lactobacillus casei for 1 month. Subgingival plaque samples were collected at baseline, after which the patients were asked to consume the probiotic drink once daily for 1 month. At the 1 month interval, plaque samples were collected, and the drink discontinued. The patients were recalled at 2 months interval for collection of the final samples. The bacterial amounts in the plaque samples were analyzed by multiplex polymerase chain reaction procedure. Results: Of the three periodontopathic bacteria selected, Porphyromonas gingivalis showed highly significant reductions in the bacterial levels at 1‑month and 2 months intervals. In comparison, Aggregatibacter actinomycetemcomitans, when present higher than 10 × 103 at baseline, and Prevotella intermedia present higher than 2 × 103 at baseline, showed moderately significant reduction in their numbers. Interpretation and Conclusion: Oral administration of the probiotic lactobacilli reduced the numerical sum of the three selected periodontopathic bacteria and could contribute to the beneficial effects on periodontal conditions.