DENTAL MANAGEMENT OF CEMENTO-OSSIFYING FIBROMA: A CASE REPORT

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Journal of the Korean Academy of Pediatric Dentistry 2005;32(2):200-206.
Published online May 31, 2005.

DENTAL MANAGEMENT OF CEMENTO-OSSIFYING FIBROMA: A CASE REPORT

백악질 골화성 섬유종의 치과적 접근 : 증례보고

한지혜, 백병주, 양연미, 이선영, 김재곤

전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소

Correspondence: ,

Abstract

Cemento-ossifying fibroma of the jaws is well circumscribed, generally slow-growing, benign lesions which enlarge in an expansile manner. Clinically it presents as a slowly enlarging lesion commonly in the premolar-molar area of the mandible and only occasionally in the maxilla and other locations. It occurs twice as often in females and primarily in the 20 to 30 year age group. Differential diagnosis should be peformed, preferably with other fibro-osseous lesions such as fibrous dysplasia. A faster growing and more destructive variant of cemento-ossifying fibroma sometimes occurs in patients under age 15 and is termed juvenile (aggressive) ossifying fibroma. Treatment is surgical removal with the extent depending on the size and location of the individual lesion. Recurrence is considered rare. A case involving a 12-year-old male patient with delayed eruption of right mandibular canine is discussed. Following an incisional biopsy, the histopathologic diagnosis established was cemento-ossifying fibroma. After the surgical enucleation of the lesion, no sign of recurrence was detected.

Key Words: Cemento-ossifying fibroma, Juvenile ossifying fibroma, Fibro-osseous lesion