Abstract :
Peripheral cemento ossifying fibroma (PCOF) is a reactive focal gingival overgrowth derived histogenetically from cells
of the periodontal ligament, usually develops in response to local irritants. PCOF accounts for 3.1% of all oral tumors
and for 9.6% of gingival lesions. Recurrence rate is high 7-20% of reactive lesions. A case report of a 36 years old
female patient, presenting with recurrent PCOF in the anterior maxillary region with emphasis on surgical management
to prevent recurrence. With simple removal the recurrence rate is greater than 20%. The recurrence rate of PCOF was
found to be high as 16-20% after 1 to 1.5 years of excision however our reported case does not show recurrence after a
follow period of 1 ½ years. Recurrence rate is less when lesion of PCOF was treated by surgical excision down to
periosteum, curettage of underlying and adjacent tissues and root planning of adjacent teeth by doing a modified flap
procedure.
Keyword :
Gingival Overgrowth, Peripheral Cemento- ossifying Fibroma, Surgical management.