CENTRAL OSSIFYING FIBROMA
CENTRAL OSSIFYING FIBROMA DEFINITION
Central ossifying fibroma represents a well demarcated, encapsulated, expansile, central jaw lesion that is composed of cellular fibrous tissue, containing spiracle calcification and irregular randomly oriented bony structures.
CENTRAL OSSIFYING FIBROMA SYMPTOMS:
Age: Children and Young Adults
Sex: More predilection for females.
Site: Mandible is far more commonly affected than maxilla.
- There will be a localized, painless non tendered, bony hard swelling in the jaw.
- The tumor is normally slow growing and gradual increase in its size causes facial deformity.
Expansion and distortion of the cortical plates and displacement of regional teeth are same.
CENTRAL OSSIFYING FIBROMA DIAGNOSIS/ INVESTIGATIONS:
Radiographically presents a well-defined, unilocular or multilocular radiolucent area with clearly DE marketed borders.
The cut surface of central ossifying fibroma exhibits a whitish-yellow mass with variable consistency and the tissue always has a gritty surface.
CENTRAL OSSIFYING FIBROMA DIAGNOSIS
- Fibrous dysplasia of bone
- Desmoplastic fibroma
- Central giant cell granuloma
CENTRAL OSSIFYING FIBROMA TREATMENT:
Surgical enucleation is the treatment of choice. The aggressive lesions of central ossifying fibroma may require radical treatments especially in cases of repeated recurrences