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Pediatr Dent ; 23(3): 245-8, 2001.
Article in English | MEDLINE | ID: mdl-11447957

ABSTRACT

PURPOSE: Reported clinicopathologic studies on the peripheral ossifying fibroma (POF), a reactive gingival lesion, have not addressed the pediatric population in specific detail. This study, the first devoted to children, investigated the clinical features of a large number of POFs and compared the findings to cases reported in the English language literature. METHODS: Detailed clinical and historical information of 134 surgically removed POFs in patients aged 1-19 formed the basis of this study. Clinical manifestations, histogenesis, treatment rationale with pediatric considerations, and biologic behavior were emphasized. RESULTS: The POF was found more frequently in females (60%). It had a predilection for the maxillary gingiva (60%) and for the incisor/cuspid region. The average patient age was 14 years. Only 2 (1%) POFs were found to be unequivocally associated with primary teeth. The clinician seldom included the POF in the differential diagnosis. The recurrence rate after surgical excision was 8%. CONCLUSIONS: This study revealed that a POF arising from the periodontal ligament of a primary tooth is most likely a rare event. However, the pediatric patient with a POF has special management considerations compared to the adult. Because of the POF behavior pattern, a proper treatment protocol is warranted with close postoperative follow-up.


Subject(s)
Fibroma, Ossifying/physiopathology , Gingival Neoplasms/physiopathology , Adolescent , Adult , Age Factors , Child , Child, Preschool , Cuspid/pathology , Diagnosis, Differential , Female , Fibroma, Ossifying/pathology , Fibroma, Ossifying/surgery , Follow-Up Studies , Gingival Neoplasms/pathology , Gingival Neoplasms/surgery , Humans , Incisor/pathology , Infant , Louisiana , Male , Mandibular Neoplasms/physiopathology , Maxillary Neoplasms/physiopathology , Neoplasm Recurrence, Local/pathology , Sex Factors , Tooth, Deciduous/pathology
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