DOI: 10.36347/sjams.2019.v07i09.048

Pages: 3156-3160

Because of many irritating factors present in the oral cavity (biofilm, plaque, dental restorations…), the gingiva can be the site of localized growths that are considered to be reactive rather than neoplastic nature. Among these non-neoplastic gingival proliferations, the Peripheral Cemento-Ossifying Fibroma (PCOF) has the particularity of associating different mineralized tissues (bone, cementum and dystrophic calcifications) in a fibrous stroma. PCOF affects frequently women during the second and third decades of life and is usually located in the maxilla anterior to the molars. Here, we report an unusual case of PCOF in 64-year old women, who reported to the department of Medicines and Surgery Oral of the Dentistry Clinic of Monastir, Tunisia. Clinical, radiographic and histological characteristics are discussed and recommendations regarding differential diagnosis, treatment and follow-up are provided.