Peripheral Ossifying Fibroma in Pregnancy: A Multifactorial Consequence

Pregnancy is the most remarkable time in every woman's life. The upsurge in levels of estrogen and progesterone leads to the plethora of changes in various parts of human body, including the oral cavity. In the oral cavity, changes are commonly seen on the gingiva. These include pyogenic granuloma, peripheral giant cell granuloma and also peripheral ossifying fibroma. Not many cases have been reported in literature of the latter. Peripheral ossifying fibroma can interfere with normal tooth position, may become a plaque retentive factor and can be unaesthetic. The pathogenesis of such lesions still remains an enigma. Many believe that peripheral ossifying fibroma may be a progressive stage of pyogenic granuloma. Here, we present a rare case of a peripheral ossifying fibroma seen in a pregnant female in the lower left front tooth region and have discussed the possible etiopathogenesis of the same.