Radiographic appearance of ossifying fibroma in the left mandible: a case report
Abstract
This article reports on ossifying fibroma (OF) which was established based on panoramic radiographic, CBCT and histopathological examination and treatment performed on a 31 years old male patient. The diagnosis is made by comparing with existing theories in the literature.Case Report: A 31 years old man was referred to the Oral Surgery Department of Al Ihsan Hospital. The patient complained of swelling in the lower left jaw. On palpation it feels hard and cannot be moved. Panoramic radiograph examination showed loss of teeth 34-35 and a radiolucent lesion mixed with radiopaque in the left mandible which resulted in a shift in the position of teeth 36 and 37 more superiorly. The CBCT examination performed revealed a mixed radiolucent and radiopaque lesion of teeth 33-38. Histopathological examination also showed the presence of cellular fibrous with a mineralized component. The patient has been treated in the form of excision of the lesion.
Conclusion: CBCT can be used as a reliable supporting examination in helping to diagnose cases of benign neoplasms involving hard bone tissue such as ossifying fibroma. OF has distinctive features on radiographs, one of which is the presence of mixed radiolucent and radiopaque lesions with wispy septa which result in resorption and displacement of the teeth involved. The accuracy of the diagnosis of OF can be enforced by a combination of clinical, radiographic and HPA examinations, so that the treatment given to patients is according to the procedure.
References
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Joseph AR, James JS, Richard CKJ. Oral Pathology: Clinical Pathologic Correlations. Seventh Edition. Missouri: Elsevier; 2017. p.293.
Dios PD, Scully C, de Almeida OP, Bagán Jv, Taylor AM. Oral Medicine and Pathology and Pathology at a Glance. Second Edition. John Wiley & Sons, Ltd; 2016. p.119.
Grewal M, Gautam S, Tanwar R, Saini N. Cemento-ossifying fibroma of maxilla: An unusual case report. Journal of Dental Research and Review. 2020;7(4):206-9.
Glick M. Burket’s Oral Medicine 12th edition. 12th ed. Connecticut: People’s Medical Publishing House; 2015. p.162.
Kharsan V, Madan RS, Rathod P, Balani A, Tiwari S, Sharma S. Large ossifying fibroma of jaw bone: A rare case report. Pan African Medical Journal. 2018;30:306.
Jih MK, Kim JS. Three types of ossifying fibroma: a report of 4 cases with an analysis of CBCT features. Imaging Sci Dent. 2020;50(1):65–71.
Patait M, Choudhary V, Mathew A, Mangrolia R, Ahire M. Cemento-ossifying fibroma: Case report. International Journal of Applied Dental Sciences. 2020;6(4):215–8.
Wright JM, Vered M. Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Odontogenic and Maxillofacial Bone Tumors. Head Neck Pathol. 2017;11(1):68–77.
White SC, Pharoah MJ. Oral Radiology Principles and Interpretation. 7th ed. Missouri: Elsevier; 2014. p.394.
Swami AN, Kale LM, Mishra SS, Choudhary SH. Central ossifying fibroma of mandible: A case report and review of literature. Journal of Indian Academy of Oral Medicine and Radiology. 2015;27(1):131–5.
Haq EU, Minhas S, Asad R, Kashif M. An unusual case of ossifying fibroma in the anterior maxilla: a case report. J Dent Health Oral Disord Ther. 2018;9(5):382-5.
Slootweg PJ, Baumhoer D. Cancers of the Jaws; Pathology and Genetics. In: Reference Module in Biomedical Sciences. Elsevier; 2017.
Prabhu SR. Handbook of Oral Pathology and Oral Medicine. Oxford: John Wiley & Sons Ltd; 2022. p.185.
Poonja P, Sattur A, Burde K, Nandimath K, Hallikeri K. Ossifying fibroma of mandible-a concise radiographic exploration. Gulhane Medical Journal. 2019;61(3):132-4.
Lubis RT, Rahman FUA, Nurrahim MA, Epsilawati L, Oli’i EM. Ossifying Fibroma pada mandibula pasien anak. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI). 2020;31;4(2):21-5.
Published
2023-08-31
How to Cite
ROMDLON, Mahindra Awwaludin; PRAMANIK, Farina; MAULUDIN, Achmad.
Radiographic appearance of ossifying fibroma in the left mandible: a case report.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 2, p. 83-88, aug. 2023.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1056>. Date accessed: 20 may 2024.
doi: https://doi.org/10.32793/jrdi.v7i2.1056.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
