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Cemento-ossifying fibroma is classified as an osteogenic tumor, defined as a well -differentiated tumor, occasionally encapsulated, comprising fibrous tissue. Abstract. Introduction: Cemento-ossifying fibroma is a benign fibro-osseous maxillary tumor belonging to the same category as fibrous dysplasia and. Background: Cemento-Ossifying Fibroma (COF) is considered by most as relatively rare, benign, non-odontogenic neoplasm of the jaw bones and other.

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Giant cemento-ossifying fibroma—A case report and review of literature. Cementoossifying fibroma is considered by most as relatively rare, benign, nonodontogenic neoplasm of the jaw bone. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Low power histopathological picture showing a fair number of bony trabecula admixed with abundant loose fibrocollagenous stroma. Int J Oral Maxillofac Surg. Treatment consists of conservative surgical excision [ 20 ] and scaling of adjacent teeth [ 18 ].

Considerable confusion has prevailed in the nomenclature of peripheral ossifying fibroma with various synonyms being used, such as peripheral cementifying fibroma, ossifying fibroepithelial polyp, peripheral fibroma with osteogenesis, peripheral fibroma with cementogenesis, peripheral fibroma with calcification, calcifying or ossifying fibrona epulis, and calcifying fibroblastic granuloma [ 10 ]. Abstract The cemento-ossifying fibroma is classified as a fibro-osseous lesion of the jaws.

Treatment consists of surgical excision, including the periosteum and scaling of adjacent teeth. Fibrmoa examination, a uniform rounded swelling was present in mandibular anterior region due to which the patient could not chew the food. Introduction Benign fibroosseous lesions of the jaws present problems in diagnosis and classification. The extent to which the tumor spreads, guides surgical therapy.


Text book of Oral medicine. Giant ossifying fibroma of the naranasal sinuses. Ostrosky The Journal of Prosthetic Dentistry.

The cemento-ossifying fibroma is a central neoplasm of bone as well as the periodontium which has caused considerable controversy because of the confusion regarding terminology and the criteria for its diagnosis. Cemento-ossifying fibroma presenting as a mass of the parapharyngeal and masticator space. In the current case, the family experienced distress related fbiroma the suggestion of squamous cell carcinoma before referral for treatment and definitive diagnosis.

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Cemento-ossifying fibroma

Clinical differential diagnosis of radicular cyst ameloblastoma, odontogenic keratocyst, and odontogenic myxoma were considered. This is particularly the case when they arise from the maxilla or paranasal sinuses because there is more room to expand Swanson Seminars in Diagnostic Pathology.

The World Health Organization histological typing of odontogenic tumours: Open in a separate window. Fibro-osseous lesions of the jaws. Synchronous ossifying fibromas of the jaws: Support Center Support Center.

It is often encapsulated and predominantly located in the mandible, and the definitive diagnosis of these lesions requires integration of its clinical, radiological and histological features. Despite a preponderance of the literature supporting differentiation, some authors continue to argue that the POF or peripheral cemento-ossifying fibroma is the peripheral counterpart of the central cemento-ossifying fibroma [ 21 ].

July 04, Citation: Histological typing of odontogenic tumours. Cemento-ossifying fibroma of the mandible: A clinicopathologic stidy of sixty-four cases. The clinical, radiographic and histological features as well as surgical findings are ribroma. Histopathological picture showing tightly cellular connective tissue stroma with abundant hyperchromatic fibroblasts and sparely collagen fibres along with scattered irregular shaped basophilic cementum like tissue.

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Lateral oblique radiograph revealed a well-defined radio-lucency of size approximately 6. Following administration of contrast, the soft tissue component usually enhances cemwnto CT 1. They are thought to arise from the periodontal ligament, accounting for the usual vicinity to teeth 3.


The cemento-ossifying fibroma is a central neoplasm of bone as well as periodontium which has caused considerable controversy because of confusion regarding terminology and the criteria for its diagnosis. Thus, this points to trauma as a possible triggering factor, postulating the lesion to be a connective tissue reaction rather than a genuine neoplasm. Histopathological picture had shown highly cellular fields with some ossiyfing areas.

Eversole and Rovin [ 17 ] stated the similar sex and site predilection of pyogenic granuloma. Ossifying fibromas of the jaw bone: PCOF affects both genders, cemehto a higher predilection for females has been reported in the literature [ 4 ].

Cemento-ossifying fibroma | Radiology Reference Article |

When bone and cementum-like tissues are observed, the lesions have been referred to as cemento-ossifying fibroma [ 11 ]. Surgical enucleation with curettage of the lesion of the patient mentioned in this case report. Case report on a bimaxillary presentation. Patient was cemwnto after 2 months of surgery, and the follow up revaled that the size of the swelling had decreased and healing had taken place.

The overlying mucosa was normal in appearance. To view the erratum, please click here. Benign fibro-osseous jaw lesions of periodontal membrane origin: Immediate reconstruction of the mandible in a patient with ossifying fibroma by replantation of the resected segment after freezing.