Giant Peripheral Ossifying Fibroma Treated With Piezosurgery and Platelet-Rich Fibrin: A Rare Case Report.

Szczegóły
Abstrakt

Tytuł:: Giant Peripheral Ossifying Fibroma Treated With Piezosurgery and Platelet-Rich Fibrin: A Rare Case Report.
Autorzy:: Freire AEN; Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil.
da Silva VSA; Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil.
Pereira AAC; Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas.
Ribeiro Junior NV; Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil.
de Carli ML; Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil.
Sperandio FF; Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas.
Hanemann JAC; Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil.
Źródło:: Clinical advances in periodontics [Clin Adv Periodontics] 2019 Mar; Vol. 9 (1), pp. 15-19. Date of Electronic Publication: 2018 Sep 28.
Typ publikacji:: Case Reports; Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: Hanover, PA : Wiley Subscription Services, Inc.
Original Publication: Chicago, IL : American Academy of Periodontology
MeSH Terms:: Fibroma, Ossifying*/therapy
Gingival Diseases*/therapy
Piezosurgery*
Platelet-Rich Fibrin*
Adult ; Humans ; Male ; Neoplasm Recurrence, Local
References:: Buchner A, Shnaiderman-Shapiro A, Vered M. Relative frequency of localized reactive hyperplastic lesions of the gingiva: a retrospective study of 1675 cases from Israel. J Oral Pathol Med 2010;39:631-638.
Chaudhari S, Umarji HR. Peripheral ossifying fibroma in the oral cavity: MRI findings. Case Rep Dent 2011;2011:190592.
Franco-Barrera MJ, Zavala-Cerna MG, Fernandez-Tamayo R, Vivanco-Perez I, Fernandez-Tamayo NM, Torres-Bugarin O. An update on peripheral ossifying fibroma: case report and literature review. Oral Maxillofac Surg 2016;20:1-7.
Moon WJ, Choi SY, Chung EC, Kwon KH, Chae SW. Peripheral ossifying fibroma in the oral cavity: CT and MR findings. Dentomaxillofac Radiol 2007;36:180-182.
Joshi S, Mazumdar S, Pandit MK. Peripheral ossifying fibroma on edentulous mandibular alveolar mucosa. J Maxillofac Oral Surg 2015;14:84-86.
Sacks HG, Amrani S, Anderson K. “Gigantiform” peripheral ossifying fibroma: report of a case. J Oral Maxillofac Surg 2012;70:2610-2613.
Childers EL, Morton I, Fryer CE, Shokrani B. Giant peripheral ossifying fibroma: a case report and clinicopathologic review of 10 cases from the literature. Head Neck Pathol 2013;7:356-360.
John RR, Kandasamy S, Achuthan N. Unusually large-sized peripheral ossifying fibroma. Ann Maxillofac Surg 2016;6:300-303.
Poon CK, Kwan PC, Chao SY. Giant peripheral ossifying fibroma of the maxilla: report of a case. J Oral Maxillofac Surg 1995;53:695-698.
Trasad VA, Devarsa GM, Subba Reddy VV, Shashikiran ND. Peripheral ossifying fibroma in the maxillary arch. J Indian Soc Pedod Prev Dent 2011;29:255-259.
Pavlikova G, Foltan R, Horka M, Hanzelka T, Borunska H, Sedy J. Piezosurgery in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 2011;40:451-457.
Patel GK, Gaekwad SS, Gujjari SK, S CV. Platelet-rich fibrin in regeneration of intrabony defects: A randomized controlled trial. J Periodontol 2017;88:1192-1199.
Eggers G, Klein J, Blank J, Hassfeld S. Piezosurgery: an ultrasound device for cutting bone and its use and limitations in maxillofacial surgery. Br J Oral Maxillofac Surg 2004;42:451-453.
Basheer SA, Govind RJ, Daniel A, Sam G, Adarsh VJ, Rao A. Comparative Study of Piezoelectric and Rotary Osteotomy Technique for Third Molar Impaction. J Contemp Dent Pract 2017;18:60-64.
Choukroun J, Diss A, Simonpieri A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:e56-e60.
Contributed Indexing:: Keywords: Mandible; mouth; piezosurgery; platelet‐rich fibrin
Entry Date(s):: Date Created: 20190907 Date Completed: 20191209 Latest Revision: 20200108
Update Code:: 20240105
DOI:: 10.1002/cap.10042
PMID:: 31490037
: Czasopismo naukowe

Full Text Finder

Introduction: The peripheral ossifying fibroma (POF) is a benign reactive lesion that exclusively arises from gingiva. The lesion may gain considerably large sizes and present peculiar clinical and radiographic features that would then allow it to be called a giant POF; in that case, its otherwise simple surgical extraction could create a challenge. Thus, we elect here, for the very first time, a plausible alternative for treating giant POF: piezosurgery followed by placement of platelet-rich fibrin (PRF).
Case Presentation: A 31-year-old black male presented a large asymptomatic nodule on the lower gingiva; the lesion had caused vestibular displacement of teeth and had been present for 18 years. Following the diagnostic hypothesis of a giant POF, an excisional biopsy was performed under local anesthesia using piezosurgery (microvibration of 36,000 times/sec was used in a bone cortical working mode), which confirmed the diagnosis. The surgical procedure was facilitated with the use of piezosurgery followed by placement of PRF, being the trans- and postoperative periods occurred with no complications. One year after the treatment, the patient shows no signs of disease recurrence and remains under follow-up.
Conclusions: Giant POF is a rare gingival reactive lesion that can reach large dimensions, causing teeth displacement, functional, and esthetic impairments. The lesion can be successfully managed with piezosurgery and PRF, as illustrated herein, avoiding extensive bone loss and damage to the surrounding soft tissues.
(© 2018 American Academy of Periodontology.)

Informacja