Central Ossifying Fibroma of the Maxilla (Matured Type): Report of a Rare Case.

Central ossifying fi broma is a bony tumor, which is believed to be derived from the cells of the periodontal ligament. Central ossifying fi broma behaves like, a benign bone neoplasm. Th is bone tumor consists of highly cellular, fi brous tissue that contains varying amounts of calcifi ed tissue resembling bone, cementum, or both. Central ossifying fi bromas of the mandible are common; however, they are rare in the maxillary region however they are common in the mandible, have got a female predeliction and is usually seen in the age between 35 and 40 years of age. In this report, we have described a 35-year-old female with minimal clinical symptoms diagnosed as central ossifying fi broma in the anterior maxillary region.

Peripheral Ossifying Fibroma: A Case Report & Review of Literature.

Gingival enlargements are commonly seen especially localized. Most of these enlargements are non-neoplastic and rather reactive by nature. On clinical examination, it is not always possible to differentiate one specific gingival enlargement from other. Clinically, differentiating one from the other as a specific entity is often not possible. To identify these lesions, histopathological examination is required. One of such seen entities is peripheral ossifying fibroma (POF) that is diagnosed by histopathological examination. Peripheral ossifying is a reactive benign lesion. A clinical report of 23 years old male with POF maxillary left canine and premolar region is reported with treatment and 1-year follow-up.

Psammomatoid Type Juvenile Ossifying Fibroma of Mandible: A Rare Entity.

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm that arises within the craniofacial bones. Two distinct histopathological variants have been described; trabecular JOF and psammomatoid JOF (PsJOF). The later occurs predominantly in craniofacial skeleton and rarely in jaws and more so in mandible (50% of the times than that in maxilla). Here we report a rare case of PsJOF in mandible body ramus region with its unique radiographic characteristics to help the diagnostician approach the diagnosis very closely for this rare entity. The tumor has been present since 1 year with unilocular radiographic appearance; having homogeneous ground-glass appearance with higher imaging, without any focal radio-opacity and inferior alveolar canal was displaced but still intact. Thus these lesions can expand to large sizes even without maturing to its radiopaque stages and without destruction of adjacent vital structures although displacing them.

Multicentric variant of peripheral ossifying fibroma.

Peripheral ossifying fibroma (POF) is a solitary over growth of the gingiva known to arise from the cells of the periodontal ligament. The lesions usually start as a painless overgrowth of the interdental papilla unless associated with trauma and gradually involve the other counter parts of the gingiva. The lesion is more considered to be an inflammatory or reactive process rather than to be neoplastic. Here, the authors present a unique case of multiple POF in a young male adult aged 24 years where surgical excision was carried out quadrant wise. The biopsy specimen from multiple sites revealed similar histopathologic features consistent with POF, but also with the multicentric presentation of POF, which is a unique phenomenon. Multicentric variant of POF is indeed a rare case being only the second case so far which has been documented. Management of such case needs a multidisciplinary approach to prevent the recurrence along with regular long time follow-up.