Version 1
: Received: 28 February 2024 / Approved: 29 February 2024 / Online: 29 February 2024 (07:07:15 CET)
How to cite:
Forte, M.; Barile, G.; D'Amati, A.; Ingravallo, G.; Corsalini, M.; Manfuso, A.; Favia, G.; Capodiferro, S. Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature. Preprints2024, 2024021690. https://doi.org/10.20944/preprints202402.1690.v1
Forte, M.; Barile, G.; D'Amati, A.; Ingravallo, G.; Corsalini, M.; Manfuso, A.; Favia, G.; Capodiferro, S. Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature. Preprints 2024, 2024021690. https://doi.org/10.20944/preprints202402.1690.v1
Forte, M.; Barile, G.; D'Amati, A.; Ingravallo, G.; Corsalini, M.; Manfuso, A.; Favia, G.; Capodiferro, S. Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature. Preprints2024, 2024021690. https://doi.org/10.20944/preprints202402.1690.v1
APA Style
Forte, M., Barile, G., D'Amati, A., Ingravallo, G., Corsalini, M., Manfuso, A., Favia, G., & Capodiferro, S. (2024). Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature. Preprints. https://doi.org/10.20944/preprints202402.1690.v1
Chicago/Turabian Style
Forte, M., Gianfranco Favia and Saverio Capodiferro. 2024 "Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature" Preprints. https://doi.org/10.20944/preprints202402.1690.v1
Abstract
Background: Peripheral Ossifying Fibroma (POF) is a benign gingival tumor generally presenting as a slow-growing mass, usually not ulcerated, and without bleeding. Histopathological exam shows fibrous connective tissue with spots or extensive areas of intralesional calcifications, which can also be detectable on radiograms. Methods and case presentation: We present the case of a 4-year-old male with a retro-incisive swelling of the hard palate, associated with speaking and feeding difficulties. On CT scans, a small intralesional calcification was detected. After conscious sedation, the patient was subjected to diode laser excision (910 nm, 2W, CW, 300 m fiber) with-out post-operative complications. A review was conducted by searching the words “peripheral ossifying fibroma” AND “children” OR “infant” and including manuscripts of the last 15 years. Results: POF is an uncommon lesion of the oral mucosa and may sporadically affect the palatal mucosa in children. Considering its epidemiology and conventional clinical presentation as epu-lis, the pre-operative diagnosis may be relatively difficult. Risk factors could be represented by plaque, calculus, or trauma, all supporting a possible reactive pathogenesis, but a certain etiology is still missing. The main problem of POF is the recurrence rate, which is particularly high (8-20%), thus suggesting that a deep excision is recommended with full extension to the hard tis-sue of bone and to the adjacent periodontal ligament. Diode laser surgery may be recommended for such treatments, especially in pediatric patients, associated with intraoperative conscious se-dation. Data emerging from the relevant literature on POF management in children have been collected and discussed. Conclusions: The authors suggest the use of diode laser for the complete excision of POF, especially in less-compliant patients as children, with a low grade of comorbidi-ties and good outcomes, giving the surgeon a viable alternative to conventional surgery.
Medicine and Pharmacology, Dentistry and Oral Surgery
Copyright:
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