Juvenile Peripheral Ossifying Fibroma – A rare case report and review

 Peripheral ossifying fibroma, first reported by Shepard in 1844 as alveolar exostosis, is a non-neoplastic reactive lesion arising as a focal exophytic mass exclusively on the gingiva originating from the interdental area and shows no bone involvement in most cases. The lesion shows propensity for maxilla and incisor-cuspid region with female predilection. The etiological factors include local factors causing gingival irritation like calculus, plaque, ill fitting dentures or orthodontic appliances; and hormonal influence, initiate exhuberant connective tissue response. The lesion shows high recurrence potential , necessitating proper identification, treatment and effective long-term recall protocol. This case report presents a relatively rare case of juvenile peripheral ossifying fibroma in relation to mandibular central & lateral incisors in an adolescent female child followed for upto 1 year after surgical excision