Aim: This report presents a case of fibroma with its clinical features, treatment, and diagnosis and follow up period.

Background: Fibroma is the lesion that occur in response to a stimulus within the oral cavity, and may result in aesthetic and functional issues related to mastication. Peripheral ossifying fibroma is considered to be reactive, non-neoplastic lesion that exhibit variant characteristics. This article describes a case of reactive lesion of gingiva and its treatment. This case report involved a female patient who presented with a chief complain of swelling in her maxillary right anterior teeth region since 6-7 months. Following a clinico-radiographic examination and histopathological confirmation, the final diagnosis for the case was determined to be peripheral ossifying fibroma. The lesion underwent treatment using an 810nm diode laser. The duration of follow-up for the case was for a period of one year. No recurrence was seen.

Conclusion: It is recommended to implement appropriate measures for the complete eradication of reactive lesions to prevent their recurrence.

Clinical Significance: The case highlights the necessity of conducting thorough clinical, radiographic, and histopathological evaluations to ensure accurate diagnosis by dental practitioners and to develop an appropriate treatment strategy.