Use of the Free Gingival Grafting Technique for soft tissue reconstruction after excision of a Peripheral Ossifying Fibroma
DOI:
https://doi.org/10.33448/rsd-v10i2.12622Keywords:
Fibroma; Combined therapy; Aesthetics.Abstract
The Peripheral Ossifying Fibroma is a benign tumor that develops from a hyperplastic tissue reaction, usually related to traumatic stimulus that are responsible for triggering inflammatory reactions of the connective tissue. Histologically, it is a nodular mass characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Surgical removal in these cases is indicated, and for reconstruction of soft tissue in the region, some periodontal surgical techniques are recommended, such as free gingival grafting. Thus, the present study aims to report a clinical case submitted to the free gingival graft technique for tissue reconstruction after the surgical removal of a fibroma. A total excision of the lesion was performed, later sent to a histopathological report where it was diagnosed as Peripheral Ossifying Fibroma, after the removal of the lesion the region was left with the periosteum exposed and then the free gingival graft was performed to cover the region and promote keratinized gum augmentation. This technique proved to be efficient for reconstruction of soft tissue in the region after surgical removal of the Peripheral Ossifying Fibroma, returning aesthetics, function and periodontal health.
References
Alves, L. B., Costa, P. P., Novaes Junior, A. B., Palioto, D. B., Taba Junior, M., Souza, S. L. S. D., & Grisi, M. F. D. M. (2012). Enxerto gengival livre e retalho posicionado coronariamente para recobrimento radicular. Perionews, 409-415.
Bosco, A. F., Bonfante, S., Luize, D. S., Bosco, J. M. D., & Garcia, V. G. (2006). Periodontal plastic surgery associated with treatment for the removal of gingival overgrowth. Journal of periodontology, 77(5), 922-928.
Carnio, J., Camargo, P. M., & Pirih, P. Q. (2015). Surgical techniques to increase the apicocoronal dimension of the attached gingiva: a 1-year comparison between the free gingival graft and the modified apically repositioned flap. Int J Periodontics Restorative Dent, 35(4), 571-8.
Dutra, K. L., Longo, L., Grando, L. J., & Rivero, E. R. C. (2019). Incidence of reactive hyperplastic lesions in the oral cavity: a 10 year retrospective study in Santa Catarina, Brazil. Brazilian Journal of Otorhinolaryngology, 85(4), 399-407.
Esmeili, T., Lozada-Nur, F., & Epstein, J. (2005). Common benign oral soft tissue masses. Dental Clinics of North America, 49(1), 223-40.
Henriques, P. S., Okajima, L. S., Nunes, M. P., & Montalli, V. A. (2016). Coverage root after removing peripheral ossifying fibroma: 5-year follow-up case report. Case reports in dentistry, 2016.
Hutton, S. B., Haveman, K. W., Wilson, J. H., & Gonzalez‐Torres, K. E. (2016). Esthetic management of a recurrent peripheral ossifying fibroma. Clinical advances in periodontics, 6(2), 64-69.
Keskiner, I., Alkan, B. A., & Tasdemir, Z. (2016). Free gingival grafting procedure after excisional biopsy, 12-year follow-up. European journal of dentistry, 10(3), 432.
Neville, B. (2011). Patologia oral e maxilofacial. Elsevier Brasil..
Tezci, N., Meseli, S. E., Karaduman, B., Dogan, S., & Meric, S. H. (2015). Soft tissue reconstruction with free gingival graft technique following excision of a fibroma. Case reports in dentistry, 2015.
Walters, J. D., Will, J. K., Hatfield, R. D., Cacchillo, D. A., & Raabe, D. A. (2001). Excision and repair of the peripheral ossifying fibroma: a report of 3 cases. Journal of periodontology, 72(7), 939-944.
Zain, R. B., & Fei, Y. J. (1990). Fibrous lesions of the gingiva: a histopathologic analysis of 204 cases. Oral surgery, oral medicine, oral pathology, 70(4), 466-470.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Nathália Januario de Araujo; Lara Brandão Ribeiro Franco; Leonardo Alan Delanora; Ruan Henrique Delmonica Barra; Juliano Milanezi de Almeida
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
