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      Ossifying fibroma of maxilla in a male child: Report of a case and review of the literature

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          Abstract

          Ossifying fibroma is a rare benign fibro-osseous neoplasm of the jaw characterized by substitution of normal bone by fibrous tissues and newly formed calcified products such as bone, cementum or both. It is a well-demarcated lesion that differentiates it from fibrous dysplasia. This case report describes a rare case of ossifying fibroma arising in the maxilla of an 11-year-old child treated with enucleation. The clinical, radiographical, surgical and histological findings are presented. Controversies regarding the terminology and classification along with the differential diagnosis are discussed and a review is provided of the literature on the subject.

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          Most cited references43

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          Giant-cell reparative granuloma, traumatic bone cyst, and fibrous (fibro-oseous) dysplasia of the jawbones.

          Dena Jaffe (1952)
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            Ossifying fibroma: a clinicopathologic study of sixty-four cases.

            Sixty-four cases of neoplastic benign fibro-osseous lesions are presented, with clinical and radiographic follow-up in 23 instances. A marked predilection for female patients was observed, with the majority or cases arising in the molar-premolar region of the mandible. Radiographically, these neoplasms are well demarcated and may be radiolucent, radiolucent with central opacification (target appearance), or multilocular radiolucent. A benign fibro-osseous histopathologic pattern is observed with osseous, cemental, and/or ovoid-curvoid calcified deposits. This feature, along with confinement to tooth-bearing regions, supports a periodontal ligament origin. It appears that the distinction between cementifying and ossifying variants is academic, as no behavioral differences exist. The recurrence rate following curettage was found to be 28%.
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              Ossifying fibromas of the jaw bone: 20 cases.

              The purpose of this article is to report 20 cases of ossifying fibroma involving the jaw bone and to review the literature of this lesion. All the cases had adequate radiographs and clinical information. Varying shapes of the lesion including cystic lesion and mixed density lesion are presented, including two massive expansile lesions, which measured more than 10 cm.
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                Author and article information

                Journal
                Natl J Maxillofac Surg
                NJMS
                National Journal of Maxillofacial Surgery
                Medknow Publications (India )
                0975-5950
                2229-3418
                Jan-Jun 2011
                : 2
                : 1
                : 73-79
                Affiliations
                [1]Department of Pedodontics and Preventive Dentistry, Saraswati Dental College and Hospital, Lucknow, India
                [1 ]Department of Oral and Maxillofacial Surgery, Saraswati Dental College and Hospital, Lucknow, India
                [2 ]Department of Oral and Maxillofacial Pathology, Saraswati Dental College and Hospital, Lucknow, India
                Author notes
                Address for correspondence: Dr. Suleman Abbas Khan, 4/16, Vikas Nagar, Lucknow-226 022, Uttar Pradesh, India. E-mail: drsulemankhan5983@ 123456gmail.com
                Article
                NJMS-2-73
                10.4103/0975-5950.85859
                3304240
                22442615
                47e951ff-c434-4ff2-bdf6-7ca370992918
                Copyright: © National Journal of Maxillofacial Surgery

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Surgery
                cemento-ossifying fibroma,bone neoplasm,fibro-osseous lesionmaxilla,ossifying fibroma
                Surgery
                cemento-ossifying fibroma, bone neoplasm, fibro-osseous lesionmaxilla, ossifying fibroma

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