Introduction: Peripheral ossifying fibroma (POF) is a reactive fibro-osseous gingival lesion commonly affecting adolescents and young adults. It usually occurs in the anterior maxillary region, while palatal involvement in pediatric patients is uncommon.

Case Presentation: A 13-year-old child presented with a painless swelling of the anterior palate that had gradually enlarged over five months. Clinical examination revealed a pedunculated lesion extending from the palatal aspect of teeth 12 to 22. CBCT demonstrated no underlying bony involvement but revealed an impacted maxillary canine associated with tooth 23. Complete surgical excision of the lesion and extraction of the impacted canine were performed. The resultant defect was reconstructed using a pedicled buccal fat pad graft. Postoperatively, mobility of the maxillary anterior teeth was managed with composite splinting for two weeks.

Histopathological examination confirmed the diagnosis of peripheral ossifying fibroma.