Peripheral Cement- Ossifying Fibroma [PCOF] is a reactive gingival growth mostly occurring in the anterior region of the maxilla, predominantly seen in teenagers and young adults. Here we report a case of PCOF in a 42 years old female patient presents with the history of asymptomatic gingival growth in right maxillary premolar region over a period of 6 months. Histopathological examination was suggestive of Peripheral cement- ossifying fibroma which exhibits the presence of cellular connective tissue stroma with focal calcifications. To prevent recurrence an early diagnosis and surgical excision is required.
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