■周围骨化性纤维瘤是牙龈中常见的反应性良性病变之一,主要是女性,尤其是在年轻女性和儿科患者的上颌前区。它会导致不令人满意的美学,难以保持良好的口腔卫生和咀嚼困难。这种临床病例的重要性是强调在去除牙龈生长后早期处理残余缺陷的兴趣。
■一名39岁的女性患者被转诊到临床牙周科,主要主诉牙龈出血,与左上颌犬齿和前磨牙区域相关的邻间区域的美学和牙龈生长不令人满意,尺寸~2厘米×1.5厘米。
■本文描述了一个周围骨化性纤维瘤的非典型病例,组织病理学,以及成年女性患者上颌骨后部的影像学特征。治疗包括完全手术切除,牙龈刮宫术,利用侧向移位的皮瓣处理角化的牙龈。2周时临床愈合满意,术后3周获得了出色的残留粘膜缺损覆盖,没有复发的证据。患者对病例解决满意,随访1年。
■虽然手术切除是治疗的首选方法,有时可能会导致残留的软组织缺损,如果不加以控制,可能会进一步沉淀功能和美学差异。
UNASSIGNED: Peripheral ossifying fibroma is one of the commonly occurring reactive benign lesions that occurs in the gingiva, predominantly in females, especially in the anterior maxillary region of young women and in pediatric patients. It causes unsatisfactory esthetics, difficulty in maintaining good oral hygiene and difficulty in mastication.The importance of this clinical case is to emphasize the interest of early management of the residual defect after the removal of the gum growth.
UNASSIGNED: A 39-year-old female patient was referred to the clinical department of periodontology, with the chief complaint of bleeding gingiva, unsatisfactory esthetics and gum growth on the interproximal area in relation to left maxillary canine and premolar region, with the size ~2 cm×1.5 cm.
UNASSIGNED: This article describes an atypical case of peripheral ossifying fibroma with the clinical, histopathologic, and radiographic features in the posterior maxilla in an adult female patient. Treatment consisted of complete surgical excision, gingival curettage, and management of keratinezed gingiva by utilizing laterally displaced flap. Clinical healing was satisfactory at 2 weeks, and excellent coverage of residual mucogingival defect with no evidence of recurrence was achieved 3 weeks postoperatively. The patient was satisfied with case resolution with a follow-up of 1 year.
UNASSIGNED: Although surgical excision is the treatment of choice, sometimes it may induce residual soft tissue defect, which may further precipitate functional and esthetic discrepancies if not managed.