A 17-year-old male patient reported to the Department of Periodontics with the chief complaint of swelling in the lower right back tooth region. The patient noticed the small swelling 1 year back which gradually increased to the present size. Past medical history and family history were not significant.
Extraoral examination revealed no significant findings. Intraoral examination revealed a single, well-defined painless, roughly oval swelling measuring 1.5 × 1 cm, firm in consistency on the lingual alveolar mucosa interdentally between 43 and 44 . The surface of the swelling was smooth with no secondary changes and discharge.
Radiographic examination revealed no bone loss. However, elongation of root in relation to 43 was observed . Differential diagnosis of fibroma, pyogenic granuloma, POF, and peripheral giant cell granuloma was made after clinical and radiographic examination.
Excisional biopsy was performed, and the specimen was sent for histopathological examination. Histopathological examination confirmed the diagnosis of POF .