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Gigantic peripheral ossifying fibroma of the mandible: A Venezuelan case report
Grimaldo-Carjevschi M1, Villarroel-Dorrego M2, Vargas F3, Romero Y1
1DDS, MSc, Dental School, Universidad Central de Venezuela Caracas, Venezuela.
2DDS, MSc, PhD, Dental School, Universidad Central de Venezuela Caracas, Venezuela.
3DDS, Oral & Maxillofacial postgraduate programme, Universidad Gran Mariscal de Ayacucho. Barcelona, Venezuela.

doi:10.5348/ijcri-201456-CI-10013

Address correspondence to:
Mariana Villarroel-Dorrego
Dental Research Institute, Dental School
Universidad Central de Venezuela
Caracas 1040
Venezuela
Phone: +58-4264068455
Email: mvillarroeldorrego@ucv.ve

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How to cite this article
Grimaldo-Carjevschi M, Villarroel-Dorrego M, Vargas F, Romero Y. Gigantic peripheral ossifying fibroma of the mandible: A Venezuelan case report. Int J Case Rep Images 2014;5(6):444–452.


Abstract
Introduction: Peripheral ossifying fibroma is a non-neoplasic, reactive lesion of the gingiva with osseous production that occurs mostly in women. Lesions tend to be "small" in size but there have been reports of uncommon huge peripheral ossifying fibromas.
Case Report: We report a case of a Venezuelan female patient with a gigantic peripheral ossifying fibroma in the anterior mandibular region, sized 5.3x4.5x3.2 cm, arising from the gum between right lateral incisor (42) and right canine (43).
Conclusion: Peripheral ossifying fibroma is a reactive lesion which may reach giant dimensions. Management and possible factors implicated in such overgrowth cases are discussed. This is a case of a gigantic reactive lesion that may be mistaken by a true neoplasm. After removal and oral hygiene control, lesion has not recurred on a five-year follow-up period.

Keywords: Reactive lesion, Peripheral ossifying fibroma, Periodontal lesion non-associated to dental biofilm

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Author Contributions
Grimaldo-Carjevschi M – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Villarroel-Dorrego M – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Vargas F, Romero Y – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Grimaldo-Carjevschi M et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.