Odontogenic Fibroma Associated with an Impacted Tooth ZD06-ZD08
Dr. Reema Talat Ayesha,
Postgraduate, Department of Oral Medicine and Radiology, Ramohalli Cross, Mysore Road, Raja Rajeswari Dental College and Hospital, Bangalore-560098, Karnataka, India.
Central Odontogenic Fibroma (COF) is an extremely rare benign tumour caused by proliferation of mature odontogenic mesenchyme that accounts for 0.1%-0.5% of all odontogenic tumours. It has a female predilection and often affects patients in between 2nd and 4th decade. Mandible is more commonly affected than maxilla. Clinically, it presents as a slow growing, asymptomatic, swelling which may cause expansion of cortical plates. Radiographically, it presents as a unilocular or multilocular radiolucency, with large lesions showing scalloped margins. Few cases show occurrence of calcification in the form of flecks and maybe associated with an unerupted tooth. Histological appearance is characterized by presence of small inactive odontogenic islands in matrix of collagenous connective tissue with variable amounts of calcification. Typical conservative surgical intervention includes enucleation and curettage with good prognosis. Here we present a case of Odontogenic Fibroma in a 25-year-old female involving the maxilla.