Surgical Management of a Recurrent Peripheral Ossifying Fibroma

Peripheral ossifying fibromas (POFs) are locally reactive gingival lesions originating from the superficial periodontal ligament that are found most often in the anterior maxilla with a relatively high recurrence rate. Case Presentation: This case report describes the surgical management of a recurrent POF and the reconstruction modality of the gingival defect by the use of a free gingival graft after excision of the lesion. Excisional biopsy was performed by debriding the underlying bone and tooth and covering the residual defect with a free gingival graft harvested from the hard palate. Conclusion: A large gingival defect attributable to a reactive lesion pathology such as a POF can be reconstructed successfully with a free gingival graft with predictable results.