Peripheral ossifying fibroma - Oral Mucosal Lesion
It is thought to be related to poor gingival and periodontal health where chronic inflammation causes differentiation of pluripotent cells to bone-producing cells that are native to the area.
It develops over weeks, months and years and is slow-growing.
D10.30 – Benign neoplasm of unspecified part of mouth
109788007 – Peripheral ossifying fibroma
- The lobular capillary hemangioma (pyogenic granuloma) (either related or unrelated to pregnancy) is generally reddish-purple or dusky red.
- The peripheral giant cell granuloma is also often dusky red or purple and may be associated with underlying cupping of the bone.
- The gingival fibroma is firm, fibrous looking and may be located on the attached rather than marginal gingiva.
- Some odontogenic cysts and tumors may occur on the gingiva but they are generally not located on the marginal gingiva but on the attached or non-attached gingiva.
- The parulis (dental sinus tract) is usually located near the apices of teeth.
- Metastatic tumors do occur as gingival nodules but these are generally rapidly growing and tend to occur in older individuals with a history of such a tumor.