J Korean Acad Oral Maxillofac Radiol.  1998 Feb;28(1):235-243.

A Study Of Cementifying Fibroma

• Choi HH
• Ko JK

Abstract

Cementifying fibroma is an odontogenic tumor of periodontal ligament origin, consistingof a proliferation of fibrous tissue that forms cementum. Cemento-ossifying fibroma, cemenrifying fibroma and ossifying firoma are difficult to distinguish on clinical and radiographic examination, and on histoapathology. However, when the calcified products is represented by ovoid or curvilinear deposites, the lesion is often referred to as cementifying fibroma. Cementifying fibroma of the jaws are well-circumscribed, generally slow-growing lesions. Although most lesions appear to be limited to the tooth-bearing areas, a few have extended into the angle-ramus area or encroached on the maxillary sinus. Radiographically, the cementifying fibroma could present as a radiolucent, radiopaque or mixed density lesion, depending on the degree of maturity. We have oberved two cases f cementifyingfibroma occurred in the left maxillary premolar-molar area of 38-year-old woman and 35-year old man. We obtained that two cases were shown the followed results ; 1. Clinically, main clinical sympton was facial swelling and pain at palpation. 2. Radiographically, well-circumscribed radiolucent lesion and radiolucent lesion with radiopaque foci were seen on the left maxillary premolar-molar areas. Loss of lamina dura and root resorption or divergency were also seen. 3. Histopathologically, many cementum-like calcifications were observed in the hypercellular connective tissue.

MeSH Terms

Adult
Connective Tissue
Dental Cementum
Female
Fibroma*
Humans
Jaw
Maxillary Sinus
Odontogenic Tumors
Palpation
Periodontal Ligament
Root Resorption