Journal of AdvancedMedical and Dental Sciences Research

Gingival growth although not uncommon, have always been a challenging task with regard to its accurate diagnosis, for prompt treatment mainly, due to the fact that they more or less have same clinical presentation. These gingival growth can be localised or generalized. Most of the gingival growth lesions are found reactive with very less incidence of neoplastic behavior. The commonly found reactive lesions include, pyogenic granuloma, that is pregnancy tumour, drug induced enlargement, focal fibrous hyperplasia and peripheral ossifying fibroma. peripheral ossifying fibroma has been described with various synonyms and is believed to arise from the periodontal ligament comprising about 9% of all gingival growths. For differentiation of such lesions histopathological correlation is mandatory. We present a case of a reactive gingival growth with unusual size of about 2*2cm, in upper anterior maxilla extending upto hard palate. Excision of lesion under G.A was planned. Histological examination with haematoxylin and eosin stains of excised tissue confirmed presence of deeper fibro collegenous stroma with cellular area s suggestive of peripheral ossifying fibroma as final diagnosis.