Difference between revisions of "Peripheral Odontogenic Fibroma"
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==Description== | ==Description== | ||
Peripheral odontogenic fibroma is a benign tumour that arises from the [[Periodontal ligament - Anatomy & Physiology|periodontal ligament]]. It was previously known as a fibromatous epulis and ossifying epulis depending on the degree of mineralization. | Peripheral odontogenic fibroma is a benign tumour that arises from the [[Periodontal ligament - Anatomy & Physiology|periodontal ligament]]. It was previously known as a fibromatous epulis and ossifying epulis depending on the degree of mineralization. | ||
| − | They present as firm, smooth swellings of the [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|gingiva]] and are normally indistinguishable from [[Gingival Hyperplasia | + | They present as firm, smooth swellings of the [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|gingiva]] and are normally indistinguishable from [[Gingival Hyperplasia|gingival hyperplasia]]. |
==Diagnosis== | ==Diagnosis== | ||
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===Diagnostic Imaging=== | ===Diagnostic Imaging=== | ||
Radiographs are required to differentiate this benign neoplasm from malignant or locally aggressive lesions. Skull radiographs will evaluate the oral lesion itself and thoracic radiography to evaluate for metastasies (if a malignancy is a diagnostic possibility). Radiographs typically show a soft tissue opacity in the the [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|gingiva]] region with varying degrees of mineralization. Bone involvement is '''not''' a feature of this neoplasm. | Radiographs are required to differentiate this benign neoplasm from malignant or locally aggressive lesions. Skull radiographs will evaluate the oral lesion itself and thoracic radiography to evaluate for metastasies (if a malignancy is a diagnostic possibility). Radiographs typically show a soft tissue opacity in the the [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|gingiva]] region with varying degrees of mineralization. Bone involvement is '''not''' a feature of this neoplasm. | ||
| − | Radiography cannot be used to differentiate a peripheral odontogenic fibroma from a [[Gingival Hyperplasia | + | Radiography cannot be used to differentiate a peripheral odontogenic fibroma from a [[Gingival Hyperplasia|hyperplastic gingival lesion]]. |
===Biopsy=== | ===Biopsy=== | ||
An incisional biopsy is required to obtain a definitive diagnosis | An incisional biopsy is required to obtain a definitive diagnosis | ||
Revision as of 10:21, 28 June 2010
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This article is still under construction. |
Typical Signalment
- Most common benign tumour found in the oral cavity in dogs
- Less common in cats
- Seen in dogs of any age but more common in those > 6years old
Description
Peripheral odontogenic fibroma is a benign tumour that arises from the periodontal ligament. It was previously known as a fibromatous epulis and ossifying epulis depending on the degree of mineralization. They present as firm, smooth swellings of the gingiva and are normally indistinguishable from gingival hyperplasia.
Diagnosis
Clinical Signs
- halitosis
- oral bleeding
- dental disruption or loss
- facial or mandibular deformity
- excessive salivation
- growth protruding from the mouth
- dysphagia occurs rarely
Diagnostic Imaging
Radiographs are required to differentiate this benign neoplasm from malignant or locally aggressive lesions. Skull radiographs will evaluate the oral lesion itself and thoracic radiography to evaluate for metastasies (if a malignancy is a diagnostic possibility). Radiographs typically show a soft tissue opacity in the the gingiva region with varying degrees of mineralization. Bone involvement is not a feature of this neoplasm. Radiography cannot be used to differentiate a peripheral odontogenic fibroma from a hyperplastic gingival lesion.
Biopsy
An incisional biopsy is required to obtain a definitive diagnosis
Treatment
An excision of the neoplasm should be performed. The depth of the excision is determined by the location of the origin of the neoplasm at the periodontal ligament. Excision may be at the gingival level or a deep resection involving the extraction of the affected tooth and curettage of the alveolar socket.
Prognosis
Good following surgical resection. Recurrence is common following incomplete surgical resection.
References
- Tutt, C., Deeprose, J. and Crossley, D. (2007) BSAVA Manual of Canine and Feline Dentistry (3rd Edition) BSAVA
- Merck & Co (2008) The Merck Veterinary Manual