Imaging Sci Dent.  2019 Sep;49(3):229-234. 10.5624/isd.2019.49.3.229.

Diagnostic considerations in central odontogenic fibroma of the maxilla: 2 case reports

Affiliations
  • 1Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University, Seoul, Korea. ohbbang50@gmail.com

Abstract

Central odontogenic fibroma (COF) is defined as a fibroblastic odontogenic tumor characterized by varying density of the tooth epithelium. It is an extremely rare benign neoplasm that occurs in the maxilla and the mandible; only a few reports of COF are available in the literature. Diagnosis of the lesion based only on the radiological features of COF is difficult due to variation in the findings regarding this condition. This report describes 2 clinical cases of middle-aged women with COF. Clinical examination revealed palatal mucosal depression; additionally, oral examination, as well as panoramic radiographs, intraoral radiographs, and computed tomography scans, revealed severe root resorption. This report highlights the clinical and radiological imaging features of COF, with the goal of enabling straightforward differential diagnosis of the lesion by the clinician and thereby appropriate treatment of the patient.

Keyword

Benign Tumor; Diagnosis, Differential; Myxofibroma; Odontogenic Tumors

MeSH Terms

Depression
Diagnosis
Diagnosis, Differential
Diagnosis, Oral
Epithelium
Female
Fibroblasts
Fibroma*
Humans
Mandible
Maxilla*
Odontogenic Tumors
Root Resorption
Tooth
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