Pathology · single question
Clinical image shows a pink/salmon-colored gingival mass. What is the diagnosis?
Show answer and explanation
Correct answer: A. Peripheral Ossifying Fibroma
✓ A) Peripheral Ossifying Fibroma is correct.
A peripheral ossifying fibroma (POF) is a reactive gingival overgrowth arising from the periodontal ligament/periosteum. Characteristics: occurs exclusively on gingiva (interdental papilla area), pink/firm, may be ulcerated, contains calcification on histology (ossifying). It differs from: pyogenic granuloma (highly vascular, bleeds easily), peripheral giant cell granuloma (purple/blue, contains multinucleated giant cells), and simple fibroma (no calcification). Treatment: excision down to bone/PDL with scaling of adjacent teeth; recurrence rate ~16%.
A peripheral ossifying fibroma (POF) is a reactive gingival overgrowth arising from the periodontal ligament/periosteum. Characteristics: occurs exclusively on gingiva (interdental papilla area), pink/firm, may be ulcerated, contains calcification on histology (ossifying). It differs from: pyogenic granuloma (highly vascular, bleeds easily), peripheral giant cell granuloma (purple/blue, contains multinucleated giant cells), and simple fibroma (no calcification). Treatment: excision down to bone/PDL with scaling of adjacent teeth; recurrence rate ~16%.