A case report of cemento-ossifying fibroma

Abstract

The concept of 'fibro-osseous lesions' of bone evolved over the last several decades to include two major entities: fibrous dysplasia and ossifying fibroma as well as the other less common lesions such as florid osseous dysplasia, periapical dysplasia, focal sclerosing osteomyelitis, proliferative periostitis of garrie and ostitis deformans. The cemento-ossifying fibroma is a central neoplasm of bone as well as periodontium which has caused considerable controversy because of confusion of terminology and criteria of diagnosis. The cemento-ossifying fibroma is odontogenic in origin where as ossifying fibroma of bony origin. This article reports a case of an 11-year-old male who came to us with the history of swelling at the maxillary anterior region causing difficulty in closing of mouth as well as mastication.

Keywords: Cemento-ossifying fibroma; Fibro-osseous lesions; Maxilla; Odontogenic tumour; Ossifying fibroma.

Fig. 1

Frontal pre operative view of the lesion

Fig. 2

Occlusal view of maxilla shows flecked radiopacities and flaring of the anterior teeth

Fig. 3

Surgical area after excision

Fig. 4

Tumour mass immediately after excision

Fig. 5

Shows regressed lesion with normal edentulous ridge after two week of surgery

Fig. 6

Histopathological examination of the same lesion