This article describes a case of peripheral ossifying fibroma in a 12-year-old girl. Clinical, radiographic and histologic characteristics are discussed and recommendations regarding differential diagnosis, treatment and follow-up are provided. The importance of excellent communication with patients is emphasized. Many types of localized reactive lesions may occur on the gingiva, including focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma (POF).1–3 These lesions may arise as a result of such irritants as trauma, microorganisms, plaque, calculus, restorations and dental appliances.2,3 The purpose of this article is to present a case of POF, briefly review the current literature on this condition and emphasize the importance of discussion of a reasonable differential diagnosis with the patient or a parent.
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