Periodontal Plastic Surgical Repair Following Removal of a Recurrent Peripheral Odontogenic Fibroma

Abstract

The purpose of this case report was to present a case of a recurrent peripheral odontogenic fibroma, which required periodontal plastic surgery, due to resultant esthetic complications. This report describes a case of removal and biopsy of a large gingival lesion over the left maxillary central incisor, which recurred, thus requiring more aggressive treatment, followed by esthetic periodontal plastic surgery. After fourteen months, there was uneventful healing of the gingival and alveolar tissues with no further recurrence noted. The attempt to create satisfactory esthetics was achieved in cases where aggressive surgery may be necessary. The peripheral odontogenic fibroma should be removed entirely, due to its high propensity for recurrence. Attempts at regeneration and cosmetic enhancement may create a more satisfactory outcome for the patient in cases where aggressive surgery may be necessary. Case report (J Int Dent Med Res 2013; 6: (1), pp. 25-30)