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Juvenile Ossifying Fibroma of the Mandible: a Case Report  [PDF]
Bahar Keles,Mutlu Duran,Yavuz Uyarhttp://www.doaj.org/restricted,Ahmet Azimov
Journal of Oral & Maxillofacial Research , 2010,
Abstract: Background: Fibro-osseous lesions of the jaws, including juvenile ossifying fibroma, pose diagnostic and therapeutic difficulties due to their clinical, radiological and histological variability. The aim of this study was to report the outcome of a 9 years old girl with diagnosed juvenile ossifying fibroma treatment.Methods: A 9 years old girl presented with a 6 x 8 cm sized hard fixed tumour on right ramus and corpus of the mandible. On the radiological examination tumour showed an irregular but well bordered, unilocular and expansive lesion on the right corpus and ramus of the mandible. There was no teeth displacement or teeth root resorbtion. Microscopically, the tumour had trabeculae, fibrillary osteoid and woven bone. After the clinical, radiological (panoramic radiography, computed tomography and magnetic resonance imaging) and histologic analysis it was diagnosed juvenile ossifying fibroma. In the history of the patient there has been an acute lymphocytic leukaemia in the remission for 3 years.Results: Because of large size of mandibular tumour, resultant expansion and destruction of mandibular cortex, the patient underwent right hemimandibulectomy using transmandibular approach. There was no recurrence or complications for two years follow-up.Conclusions: Although juvenile ossifying fibroma is an uncommon clinical entity, its aggressive local behaviour and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment and, especially, follow-up the patient over the long-term.
Synchronous Juvenile ossifying Fibroma in maxilla and mandible- A case report  [PDF]
B Shrestha,S Subedi,S Pandey
Journal of Chitwan Medical College , 2014, DOI: 10.3126/jcmc.v4i2.10867
Abstract: Juvenile ossifying fibroma (JOF), one of the fibroosseous lesions is an uncommon clinical entity and involving both jaw is even rarer. Here, we present the case of a 15-year-old female patient with synchronous occurrence of JOF in the right sided maxilla and in the periapical area of mandibular right premolar molar region. After the clinical, radiographical and histopathological examination, the surgical treatment was carried out and the patient was kept under long term follow up. Owning to its aggressive local behaviour and high recurrence, early diagnosis, appropriate treatment and long term regular follow up are of prime importance. DOI: http://dx.doi.org/10.3126/jcmc.v4i2.10867 Journal of Chitwan Medical College 2014; 4(2): 54-57
Bilateral Cemento Ossifying Fibroma of Mandible
Dinkar Desai,Arathi K,Samir Ahmed,Nisha Rai
Indian Journal of Dental Advancements , 2010,
Abstract: Cemento - Ossifying Fibromas are rare fibro-osseous lesions that affect the jawbone. It is a well-demarcated and occasionally encapsulated neoplasm that contains fibrous tissue and varying amounts of calcified tissue resembling bone, cementum, or both. Slow growth and lack of symptoms are the cardinal features with expansion of both buccal and lingual plates associated with the larger lesions. The current case of bilateral Cemento Ossifying Fibroma of mandible is reported because of its rarity and the paucity of information concerning them in the dental literature.
Peripheral Ossifying Fibroma: A Clinical Report
Nazareth,Bianca; Arya,Harshwardhan; Ansari Ritika Arora,Salman; Arora,Ritika;
International journal of odontostomatology , 2011, DOI: 10.4067/S0718-381X2011000200007
Abstract: localized growths are commonly seen on the gingiva. many of these enlargements are considered to be reactive rather than neoplastic in nature. clinically differentiating one from the other as a specific entity is often not possible. histopathologic examination is needed in order to positively identify the lesion. the peripheral ossifying fibroma is one such lesion. we report in this study, the clinical report of a 20-yr-old male patient with a peripheral ossifying fibroma in the maxilla exhibiting significant size with the disease duration of 1 year. the signs of recurrence in spite of thorough excision and debridement exposed the need for further study of the causes of recurrence and possible modes to avoid the situation. clinical, radiographical and histological characteristics are discussed and recommendations regarding treatment and follow-up are provided.
Juvenile psammomatoid ossifying fibroma. Case report
Hellenic Archives of Oral and Maxillofacial Surgery , 2012,
Abstract: Ossifying fibroma (OS) represents a slow growing, benign neoplasm that belongs to the greater group of fibro-osseous lesions. Based on its histological features, ossifying fibroma is divided into: a) juvenile trabecular OS and b) juvenile psammomatoid OS which affects mainly the paranasal sinuses of children and teenagers aging from 5 to 15 years.A rare case of juvenile psammomatoid ossifying fibroma in a 30 year old male patient located in the left mandibular ramus is presented. Treatment plan included radical surgical excision of the lesion and restoration with autologous osteochondral graft from the 6th rib of the ipsilateral side.
Juvenile Psammomatoid Ossifying Fibroma – A Case Report  [PDF]
Guruprasad R,,Som Datt Gupta,,Nisha Dua,,Ruchi Mehta
People's Journal of Scientific Research , 2011,
Abstract: Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm in young children. JOF is defined as a variant of the ossifying fibroma, and latter includes juvenile psammomatoid ossifying fibroma (JPOF) and juvenile trabecular ossifying fibroma (JTOF). Both variants involve the craniofacial bones with the trabecular variant being more common in the jaws and the psammomatoid variant being more common in the paranasal sinuses. This lesion is locally aggressive andspreads quickly. As it has a very high recurrence rate, complete excision is essential. A case of large JPOF involving rightmaxilla and other cranial bones in a 12 year old female patient with clinical, radiographic and histopathological features arepresented. Surgical management and follow up is also emphasized.
Trabecular variant of juvenile aggressive ossifying fibroma of anterior mandible  [cached]
Manjunatha BS,Nagarajappa Das,Saraswati Naik,Gowramma R
Pediatric Reports , 2012, DOI: 10.4081/pr.2012.e24
Abstract: Juvenile ossifying fibroma (JOF) is an expansile intra-osseous lesion of the jaw that emulate odontogenic lesions frequently seen in patients under 15 years of age. They are histologically characterized by the presence of fibrous stromal cells along with mineralized tissues. Clinically, these are characterized by early age of onset, histological patterns, high rate of recurrence and the aggressive local behavior. The differential diagnosis of JOF with other fibro-osseous lesions of the jaw should be made along with an essential microscopic examination and be largely based on the character of the calcified products of the tumor. The purpose of this article is to present a rare clinical case of the trabecular type of JOF and to describe its clinical, radiological and histological characteristics. The clinician should be aware of this type of lesion in order to be able to distinguish this it from other fibrous lesions if encountered in routine practice and for appropriate treatment to be carried out.
The varying clinical presentations of peripheral ossifying fibroma: a report of three cases
Pal, Sumona;Hegde, Shruthi;Ajila, Vidya;
Revista Odonto Ciência , 2012, DOI: 10.1590/S1980-65232012000300015
Abstract: purpose: gingival growths are one of the most frequently encountered lesions in the oral cavity. most of these lesions are innocuous, but some do have malignant potential. different lesions with similar clinical presentations make it difficult to arrive at a correct diagnosis. one of the infrequently occurring gingival lesions is peripheral ossifying fibroma (pof). lesions with histological features similar to pof have been given various names, adding to the confusion. we report the varied clinicopathological features of 3 cases of pof, discuss the contentious nomenclature and investigate the possible etiopathogenesis of this disease. case description: three cases of gingival growths (pof) are reported. two of the lesions occurred in the maxillary anterior region, while the third occurred in the mandibular posterior region. two of the cases showed radiographic evidence of bone loss. an excision biopsy was performed in all three cases. conclusion: because the rate of recurrence for peripheral ossifying fibroma is 8% to 20%, close postoperative monitoring is required. it is also necessary to use consistent and specific nomenclature in the literature to avoid confusion and the loss of important data.
Peripheral Ossifying Fibroma  [cached]
Sudhakar S,Praveen Kumar B,Prabhat MPV
Online Journal of Health & Allied Sciences , 2009,
Abstract: Peripheral ossifying fibroma is a relatively uncommon gingival growth that is considered to be reactive in nature and postulated to appear secondary to irritation or trauma. They usually occur in young adults with a female predominance and are solitary in nature. We report a case of peripheral ossifying fibroma in a 55-year old female.
Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report
Roopashri Rajesh Kashyap,Gopakumar R. Nair,Subhas Babu Gogineni
Case Reports in Dentistry , 2011, DOI: 10.1155/2011/523751
Abstract: Ossifying fibromas form a part of the spectrum of fibro-osseous lesions of the jaws. They are rare, benign, nonaggressive tumors that are commonly seen in head and neck region. This paper presents the case of a 40-year-old female patient presented with minimal clinical symptoms, diagnosed to be suffering from aggressive form of ossifying fibroma of maxilla involving the maxillary sinus and ethmoid sinus. This paper emphasizes the importance of computed tomography in diagnosing such unapparent aggressive tumors.
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