Peripheral Fibroma Mimicking Pyogenic Granuloma in Mandibular Anterior Region: A Diagnostic Dilemma – A Case Report

Introduction: Reactive gingival lesions frequently present with overlying clinical features, posing a diagnostic challenge. Peripheral fibroma is a benign reactive lesion that may clinically simulate pyogenic granuloma and further gingival overgrowths.

Case Report: A 27-year-old female presented with a painless, gradually enlarging gingival swelling in the mandibular anterior area for two months, related with difficulty in chewing and maintenance of oral hygiene. Clinically a firm, pedunculated, non-ulcerated growth budding from the interdental papilla. A provisional diagnosis of pyogenic granuloma was made. The lesion was removed with surgical excision, and histopathological assessment confirmed peripheral fibroma. Healing was uneventful postoperatively with two months of follow up.

Conclusion: This case highlights the significance of relating clinical and histopathological findings for precise diagnosis of reactive gingival lesions. Complete surgical excision with elimination of local irritants confirms effective management.