Different studies reported high variability in the incidence rate as being between 3. Central odontogenic fibroma, endodontic disease diagnosis, oral tumors. Odf can be further divided into central intraosseous odontogenic fibroma codf and peripheral extraosseous odontogenic fibroma podf according to the anatomical sites involved. The patient remains asymptomatic after thirteen years of followup, which supports the claimed indolent behavior of this poorly documented disease and the adequacy of a conservative surgical treatment. Our case report is of a 52yearold female, with a chief complaint of a bony hard swelling. The tumor derives from mesenchymal tissue of dental origin, such as periodontal ligament, dental papilla, or dental follicle. The world health organization who recognizes two variants of cof namely. Concurrent central odontogenic fibroma who type and traumatic bone cyst. Central odontogenic fibroma of the mandible chhabra v. A case of central odontogenic fibroma occurring in the mandible of a 30year old female with radiological appearance of a dentigerous cyst involving an impacted lower first molar, presented here.
Pdf odontogenic fibroma odf is a rare odontogenic tumor. Of these rare types is the coexistence of giant cell granulomalike lesion, with the characteristic odontogenic epithelial rests. Histopathological study showed collagenrich background with. Central odontogenic fibroma cof is defined as a fibroblastic odontogenic tumor characterized by varying density of the tooth epithelium. Jun 23, 2011 odontogenic fibroma odf originates from odontogenic ectomesenchyme. For many years there was considerable confusion concerning the criteria by which the lesion should be diagnosed and as a result, a verity of different conditions were being reported as odontogenic fibroma of. The most frequently observed manifestation in the oral and the maxillofacial region is an odontogenic keratocyst. Here, a case of central odontogenic fibroma in a 17yearold male is reported. Central odontogenic fibroma, its treatment and its recurrence. Central odontogenic fibromais a rare benign odontogenic tumor, representing less than 1. Asymptomatic or swelling and tooth mobility more common sites. Central odontogenic fibroma current concepts gardner 1996. A case of central odontogenic fibroma of the mandible in a. Since the present case showed a multilocular radiolucency with partially illdefined border between the right mandibular condyle and the distal root of the right mandibular third molar, differential diagnosis.
A central odontogenic fibroma cof is a rare and benign tumor accounting for only 0. M abstract handlers and his colleagus described central odontogenic fibroma cof in 1991, as an extremely rare benign odontogenic tumor that is derived from dental mesenchymal tissue. Central odontogenic fibroma med oral patol oral cir bucal. Odontogenic fibroma, central ddmfr oral and maxillofacial. Central odontogenic fibroma current concepts gardner. Dec 01, 2015 odontogenic fibroma of, a rare odontogenic tumor of mesodermal origin, has been thought to originate from either dental follicle, periodontal ligament, or dental papilla 1. The central odontogenic fibroma cof is an uncommon odontogenic tumor whose typing is controversial both clinically and histologically 1. Central odontogenic fibroma of the who type sciencedirect. Central odontogenic fibroma of maxilla a case report. In this report, a 10yearold male patient is presented, who was diagnosed with central odontogenic fibroma of simple type from clinical, radiological, and histopathological findings. Central odontogenic fibroma of the maxilla a case report revista. Benign lesions, central odontogenic fibroma, histopathology, periodontal pathology. It is a lesion associated with the crown of an unerupted tooth resembling dentigerous cyst.
Cof is reported to occur in the 480 year range of age mean age. Central odontogenic fibroma of maxilla a case report usha hedge, rekha. The presented case is a 33 years old female complaining of asymptomatic mandibular. This lesion is considered to be derived from the mesenchymal tissue of. It has been defined as a benign neoplasm, which appears in the jaw. Central odontogenic fibroma is a benign odontogenic tumor derived from the dental ectomesenchymal tissues.
Concurrent central odontogenic fibroma who type and. Central odontogenic fibroma is a rare odontogenic neoplasm that originates from odontogenic ectomesenchyme. Under general anesthesia the lesion was removed after ostectomy of buccal cortical plate and inferior. The radiographic and microscopic features are discussed and illustrated.
A central odontogenic fibroma cof is a rare tumor of odontogenic origin with a diverse histopathology found in both the mandible and the maxilla. Case report open access central odontogenic fibroma. The patient in question is a 53yearold africanamerican man who was referred for periodontal evaluation of asymptomatic space formation between the. Central odontogenic fibroma of the maxilla a case report. Odontogenic tumors of the jaw this rare group of tumors may derive from the tooth. Central odontogenic fibroma is a rare benign odontogenic tumor that relies on clinicalradiographichistological correlation to reach its diagnosis, especially its rare variants. Odontogenic, tumors, fibroma, central introduction odontogenic fibroma odonf is a mesenchymal odontogenic tumor 1. Pdf a central odontogenic fibroma cof is a rare tumor of odontogenic origin with a diverse histopathology found in both the mandible and. Abstract introduction odontogenic fibroma of, a rare odontogenic tumor of mesodermal origin, has been thought to originate from either dental follicle, periodontal ligament, or dental papilla 1.
In this report, we described a 20yearold female with a painless unilocular radiolucent lesion over left side of mandibular body. A case report ahmad soolari and asghar khan university of maryland dental school, baltimore, md, usa abstract. A case of a central odontogenic fibroma in a 16yearold boy is presented. A rare case p balaji1, ashish gupta2, poornima govindraju3, vinitra vasan2, usha jambunath2 1professor, department of oral medicine and radiology, rajarajeswari dental college and hospital, bengaluru, karnataka, india. The central odontogenic fibroma cof is an extremely rare benign neoplasm of intraosseous or central presentation, being itself only 0. Odontogenic fibroma cementoblastoma odontogenic myxoma cementifying fibroma malignant. Central giant cell granuloma giant cell tumor hyperparathyroidism cherubism aneurysmal bone cyst. Uroofrahamthullah, 2 andmeerammabotu 1 department of oral and maxillofacial pathology, cks eja inst itute of dental sciences and research, chadalawada nagar. It can be further divided into peripheral odontogenic fibroma podf and central. Ithe present study outlines the case of a 30yearold patient with central odontogenic fibroma. Pdf central odontogenic fibroma of mandible a case.
Central odontogenic fibroma with giant cell granulomalike. Introduction the central odontogenic fibroma cof is a rare and benign neoplasm that could appear very similar to the endodontic lesions andor to the other odontogenic tumors 1, 2. Case report central odontogenic fibroma of simple type. Abstract central odontogenic fibroma is a benign odontogenic tumor derived from the dental ectomesenchymal tissues. The clinical appearance and surgical treatment are described. Two examples of central odontogenic fibroma, who type, are reported.
A case report ugo covani 1, roberto crespi 2, nicola perrini 3, antonio barone 2 1 associate professor and chairman of oral pathology and medicine school of dental medicine and nanoworld institute. The lesion may evolve from a dental germ dental papilla or follicle or from the periodontal membrane, and therefore is. Central odontogenic fibroma cof is a rare, benign neoplasm of mesenchymal origin that makes up less than 5% of odontogenic tumors commonly found in women in ratio 2. Epithelium rich type central odontogenic fibroma in.
The who defines central odontogenic fibroma as fibroblastic neoplasm containing variable amounts of apparently inactive odontogenic epithelium and is classified as odontogenic tumor of. Pdf central odontogenic fibroma of mandible a case report. Central odontogenic fibroma associated with central giant cell granuloma cgcg in some cases, the cof and cgcg histologic components were not intimately admixed. In this paper, we present a case of an uncommon and slowgrowing tumor known as a central odontogenic fibroma cof. The aim of this study was to clarify the clinicopathologic features of central odontogenic. The lesion was diagnosed as a central odontogenic fibroma, an uncommon benign neoplasm derived from dental apparatus, and was removed by curettage. Central odontogenic fibroma cof is an uncommon benign neoplasm composed by varying amounts of inactivelooking odontogenic epithelium embedded in a neoplastic mature and fibrous stroma 112. Central odontogenic fibroma cof is a rare tumor that accounts for 0. Diagnostic considerations in central odontogenic fibroma. A clinicopathologic study on central odontogenic fibroma. Cemento ossifying fibroma is a benign, non odontogenic tumour of the jaw, a subdivision of. Different studies reported high variability in the incidence rate as being between 3 and 23% of all odontogenic tumors 2,3. It appears as an asymptomatic expansion of the cortical plate of the mandible or maxilla.
The patient remains asymptomatic after thirteen years of followup, which supports. Radiologically it presents as a unilocular or multilocular radiolucency. Aarthinisha sree balaji dental college and hospital, bharath university, chennai, india abstract. Odontogenic fibroma odf originates from odontogenic ectomesenchyme.
The central odontogenic fibroma cof is a rare benign odontogenic mesenchymal tumor of jaw bones. Central odontogenic fibroma of the mandible medind. It is a rare lesion that could be seen in all agegroups and that it is found both in the mandible and in the maxilla. The central odontogenic fibroma consists of col lagenous fibrous connective tissue containing varying amounts of odontogenic epithelium 3. Central odontogenic fibroma of simple type hindawi. A case report ugo covani 1, roberto crespi 2, nicola perrini 3, antonio barone 2 1 associate professor and chairman of oral pathology and medicine school of dental medicine and nanoworld institute university of. Since the present case showed a multilocular radiolucency with partially illdefined border between the right mandibular condyle and the distal root of the.
Pdf we report a case of 15yearold boy presented with painless swelling of right side of lower jaw since 2 years. Odontogenic tumors fibroma adult humans pathology diagnosis a b s t r a c t central odontogenic. The lesion may evolve from a dental germ dental papilla or follicle or from the periodontal membrane, and therefore is invariably be related to the coronal or radicular portion of teeth. Odontogenic fibroma of, a rare odontogenic tumor of mesodermal origin, has been thought to originate from either dental follicle, periodontal ligament, or dental papilla 1. In this article, we report two cases of central odontogenic. Odontogenic fibroma a case report central european journal of medicine email. Both were treated by curettage, and neither has recurred after 10 and 9 years, respectively.
This article presents a case of a 14 years old patient with a central odontogenic fibroma. Aug, 2010 an osteolytic tumour of the mandible with prominent expansive growth on the alveolar ridge and displacement of the involved teeth is described in a 28yearold man. Unusual mandibular lesion of central odontogenic fibroma. Unusual mandibular lesion of central odontogenic fibroma combined with mandibular giant cell central granuloma mx ther the maxilla or the mandible, posterior or anterior zone of the mouth.
Central odontogenic fibroma, its treatment and its. The central odontogenic fibroma codf, which has been categorized under the subheading of odontogenic tumors of ectomesenchyme, is such an uncommon neoplasm that much of its nature is left uncharted. Epithelium rich type central odontogenic fibroma in maxilla. Diagnostic considerations in central odontogenic fibroma of. Odontogenic fibroma of, a rare odontogenic tumor of mesodermal origin, has been thought to originate from either dental follicle, periodontal. Case report central odontogenic fibroma of simple type prasanththankappan, 1 nagasirishav.