Ossifying Fibroma of Mandible - A Case Report.

Indian J Dent Res

Department of Oral and Maxillofacial Surgery, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

Published: October 2023

Introduction: Ossifying fibromas are rare, non-aggressive benign tumours of the bone, commonly involving the posterior mandible in middle-aged individuals with a female predilection.

Findings: Clinical manifestations include asymptomatic expansion of the mandible with infrequent maxillary lesions, pain, malocclusion, and compromised quality of life including aesthetic perception. Owing to multiplicity of features, tendency of recurrence, and possibility of malignant transformation, the diagnosis, treatment, and post-operative management of ossifying fibroma are always a challenge.

Takeaway Lessons: Study aims to report a clinical case of extensive swelling involving the coronoid process and condyle on the right side to crossing the mid-line of the mandible with compromised functions and aesthetics. The article describes the clinical, histopathological, and radiological features of the case. The possible treatment and challenges encountered are discussed.

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http://dx.doi.org/10.4103/ijdr.ijdr_134_21DOI Listing

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Article Synopsis
  • Fibroma ossificans are generally well-defined but not often encapsulated tumors, presenting challenges for treatment choices in maxillofacial surgery.
  • A case involving a 17-year-old woman with a 6-year-old mandibular swelling revealed a benign tumor, confirmed by imaging and histological examination, leading to successful surgical resection and reconstruction.
  • The report highlights the importance of considering clinical and radiological features in managing ossifying fibroids, as treatment can be invasive.
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