Odontogenic fibroma: An unusual presentation

The odontogenic fibroma is a relatively rare, slow-growing, benign odontogenic neoplasm of the jaws, with the potential to recur after excision. It may occur either intraosseously or as a localized gingival overgrowth, in which case it may be mistaken for other more common exophytic gingival lesions. This paper reinforces the importance of radiographic and histological examination for exophytic gingival lesions by describing a recurrent peripheral odontogenic fibroma, presenting in 1986, 1992, and 2003, accompanied on this last occasion by a separate but co-located, central odontogenic fibroma in the underlying alveolar process.