DOI:

10.37988/1811-153X_2022_2_63

Peripheral ossifying fibroma or fibrous epulis with ossification

Downloads

Authors

  • M.V. Sotnikova 1, PhD in Medical Sciences, associate professor of the Oral and maxillofacial surgery Department
  • E.V. Kuzmina 1, PhD in Medical Sciences, associate professor of the Oral and maxillofacial surgery Department
  • V.N. Borovoy 1, 2, PhD in Medical Sciences, associate professor of the Oral and maxillofacial surgery Department; head of the Department of Oral and maxillofacial surgery
  • P.A. Kovalkova 3, pathologist
  • 1 Smolensk State Medical University, 214019, Smolensk, Russia
  • 2 Smolensk Regional Clinical Hospital, 214018, Smolensk, Russia
  • 3 Smolensk Regional Institute of Pathology, 214018, Smolensk, Russia

Abstract

Clinical case of rare pathology - fibrous epulis with ossification in a 72-year-old patient is presented. A rounded formation 2×3 cm in size containing bone tissue was diagnosed in the central part of maxillary alveolar ridge, during x-ray and histology examinations. The treatment was to remove the epulis. During the follow-up examination in 11 months, no recurrence was observed. Epulis is a widespread tumor-like lesion of the oral mucosa. Fibrous epulis is the most common of them. Despite the fact that the pathology has been quite extensively studied, information about possible signs of ossification of fibrous epulis are extremely rarely described. Discussion. According to the literature, terms “fibrous epulis with ossification” and “peripheral ossifying fibroma” are synonymous. However, the second one is much more common. But fundamentally, this term is wrong, since this pathology has no connection with ossifying fibroma of the bone and, at the same time, is not fibroma. The formation presented in the article is not caused by tumor, it is reactive tissue growth in response to irritation, which is epulis.
Conclusion.
In case of ossification in fibrous supragingival neoplasm we should diagnose “fibrous epulis with ossification”.

Key words:

fibrous epulis, peripheral ossifying fibroma, fibrous epulis with ossification, ossifying fibroma

For Citation

[1]
Sotnikova M.V., Kuzmina E.V., Borovoy V.N., Kovalkova P.A. Peripheral ossifying fibroma or fibrous epulis with ossification. Clinical Dentistry (Russia).  2022; 25 (2): 63—67. DOI: 10.37988/1811-153X_2022_2_63

References

  1. Burdina P.A., Turin A.G. Epulises: current problem. Parodontologiya. 2020; 25 (2): 163—170 (In Russ.). eLIBRARY ID: 42820288
  2. Cawson R.A., Odell E.W., Porter Stephen R. Cawson’s essentials of oral pathology and oral medicine. Churchill Livingstone, 2002. Pp. 275—280.
  3. Neville B.W., Damm D.D., Allen C.M., Chi A.C. Oral and maxillofacial pathology. St. Louis: Elsevier, 2016. Pp. 487—488.
  4. Kostina I.N. Structure, localization of tumor and tumorlike diseases of the oral cavity. Actual Problems in Dentistry. 2014; 4: 33—39 (In Russ.). eLIBRARY ID: 21981192
  5. Costa P., Peditto M., Marcianò A., Barresi A., Oteri G. The “Epulis” dilemma. Considerations from provisional to final diagnosis. A systematic review. Oral (Italy). 2021; 1: 224—235. DOI: 10.3390/oral1030022
  6. Rallan M., Pathivada L., Rallan N.S., Grover N. Peripheral ossifying fibroma. BMJ Case Rep. 2013; 2013: bcr2013009010. PMID: 23696140
  7. Poonacha K.S., Shigli A.L., Shirol D. Peripheral ossifying fibroma: A clinical report. Contemp Clin Dent. 2010; 1 (1): 54—6. PMID: 22215935
  8. Marianoa R.C., Oliveirab M.R., Silvab A.C., Almeidac O.P. Large peripheral ossifying fibroma: Clinical, histological, and immunohistochemistry aspects. A case report. Rev Esp Cir Oral Maxilofac (Brazil). 2017; 39 (1): 28—49. DOI: 10.1016/j.maxilo.2015.04.008
  9. Bhasin M., Bhasin V., Bhasin A. Peripheral ossifying fibroma. Case Rep Dent. 2013; 2013: 497234. PMID: 23878748
  10. Shah C., Joshi S., Joshi C., Zope S. Peripheral ossifying fibroma A case report. Journal of the Indian Dental Association (India). 2011; 5 (9): 1002—1004. https://www.researchgate.net
  11. Mohiuddin K., Priya N.S., Ravindra S., Murthy S. Peripheral ossifying fibroma. J Indian Soc Periodontol. 2013; 17 (4): 507—9. PMID: 24174733
  12. Agarwal P., Chug A., Kumar S., Jain K. Palatal peripheral ossifying fibroma: A rare occurrence. Int J Health Sci (Qassim). 2019; 13 (4): 63—66. PMID: 31341457
  13. Amitha H.A., Panchakshari Prasanna B.K., Akshatha B.S., Kiran Y.C., Patel S.S. Case report Peripheral ossifying fibroma with congenital heart disease. . Acta Scientific Dental Sciences (India). 2019; 3 (11): 73—76. DOI: 10.31080/ASDS.2019.03.0678
  14. Trigolos N.N., Firsova I.V., Poroyskaya A.V., Makedonova Yu.A. Fibrotic lesions of the jaws. Volgograd Scientific and Medical Journal. 2015; 3 (47): 21—24 (In Russ.). eLIBRARY ID: 25001874
  15. Sviridov E.G., Kadykova A.I., Redko N.A., Drobyshev A.Yu., Deev R.V. Genetic heterogenety of tumour-like lesions of bones in maxillofacial area. Genes and Cells. 2019; 1: 49—54 (In Russ.). eLIBRARY ID: 39695988
  16. Rogozhin D.V., Bertoni F., Vanel D., Gambarotti M., Rigi A., Bulicheva I.V., Konovalov D.M., Talalaev A.G., Roschin V.U., Bolotin M.V., Lopatin A.V. Benign fibroosseous lesions of craniofacial area in children and adolescents. Evaluation of 28 cases. Bone and soft tissue sarcomas and tumors of the skin. 2014; 3—4: 65—73 (In Russ.). eLIBRARY ID: 23137132

Downloads

Received

March 6, 2022

Published on

June 1, 2022