International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 16 , ISSUE 5 ( September-October, 2023 ) > List of Articles

CASE REPORT

Central Odontogenic Fibroma of the Mandible in a 9-year-old Child: A Case Report with 24-month Follow-up

Raja Raghu, Manoj Jaiswal, Gauba Krishan

Keywords : Case report, Central odontogenic fibroma, Enucleation, Unilocular radiolucency

Citation Information : Raghu R, Jaiswal M, Krishan G. Central Odontogenic Fibroma of the Mandible in a 9-year-old Child: A Case Report with 24-month Follow-up. Int J Clin Pediatr Dent 2023; 16 (5):774-779.

DOI: 10.5005/jp-journals-10005-2666

License: CC BY-NC 4.0

Published Online: 10-11-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Central odontogenic fibroma (COF) is a rarely benign tumor with an incidence of only 0.1% among all odontogenic tumors, which commonly involve the mandible. Case description: A 9-year-old child reported with asymptomatic bony expansion of the mandible, showing an unilocular radiolucency on an orthopantomogram. The tumor was managed surgically by enucleation, and the surgical stent was placed, which was later modified as a removable functional space maintainer. The patient was followed up for 24 months with the complete healing of periapical radiolucency and the eruption of displaced permanent tooth to the proper position. Conclusion: This case report discusses the importance of the dentist in assessing and diagnosing COF, especially in the pediatric age group.


HTML PDF Share
  1. Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol 1994;77(3):276–280. DOI: 10.1016/0030-4220(94)90299-2
  2. Günhan O, Erseven G, Ruacan S, et al. Odontogenic tumours. a series of 409 cases. Aust Dent J 1990;35(6):518–522. DOI: 10.1111/j.1834-7819.1990.tb04683.x
  3. Zia M, Arshad A, Zaheer Z. Central odontogenic fibroma: a case report. Cureus 2018;10(4):e2556. DOI: 10.7759/cureus.2556
  4. Santoro A, Pannone G, Ramaglia L, et al. Central odontogenic fibroma of the mandible: a case report with diagnostic considerations. Ann Med Surg (Lond) 2016;5:14–18. DOI: 10.1016/j.amsu.2015.11.004
  5. Thankappan P, Chundru NS, Amudala R, et al. Central odontogenic fibroma of simple type. Case Rep Dent 2014;2014:642905. DOI: 10.1155/2014/642905
  6. Covani U, Crespi R, Perrini N, et al. Central odontogenic fibroma: a case report. Med Oral Patol Oral Cir Bucal 2005;10(2):E154–E17.
  7. Philipsen HP, Reichart PA, Sciubba JJ, et al. Odontogenic fibromaWorld Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Head and Neck Tumours. In: Barnes L, Eveson JW, Reichart PA, Sidransky D (Eds). Lyon: IARC; 2005. p. 317.
  8. Kaffe I, Buchner A. Radiologic features of central odontogenic fibroma. Oral Surg Oral Med Oral Pathol 1994;78(6):811–818. DOI: 10.1016/0030-4220(94)90101-5
  9. Gardner DG. Central odontogenic fibroma current concepts. J Oral Pathol Med 1996;25(10):556–561. DOI: 10.1111/j.1600-0714.1996. tb01731.x
  10. Robinson RA. Diagnosing the most common odontogenic cystic and osseous lesions of the jaws for the practicing pathologist. Mod Pathol 2017;30(s1):S96–S103. DOI: 10.1038/modpathol.2016.191
  11. Penumatsa NV, Nallanchakrava S, Muppa R, et al. Conservative approach in the management of radicular cyst in a child: case report. Case Rep Dent 2013;2013:123148. DOI: 10.1155/2013/123148
  12. Morankar R, Bhatia SK, Goyal A, et al. Conservative management of keratocystic odontogenic tumour in a young child with decompression and an intraoral appliance: 5-year follow-up. BMJ Case Rep 2018;2018. DOI: 10.1136/bcr-2017-221563
  13. Borghesi A, Nardi C, Giannitto C, et al. Odontogenic keratocyst: imaging features of a benign lesion with an aggressive behaviour. Insights Imaging 2018;9(5):883–897. DOI: 10.1007/s13244-018-0644-z
  14. Masthan KM, Anitha N, Krupaa J, et al. Ameloblastoma. J Pharm Bioallied Sci 2015;7(Suppl 1):S167–S170. DOI: 10.4103/0975-7406.155891
  15. Gupta S, Grover N, Kadam A, et al. Odontogenic myxoma. Natl J Maxillofac Surg 2013;4(1):81–83. DOI: 10.4103/0975-5950.117879
  16. Anbiaee N, Ebrahimnejad H, Sanaei A. Central odontogenic fibroma (simple type) in a four-year-old boy: atypical cone-beam computed tomographic appearance with periosteal reaction. Imaging Sci Dent 2015;45(2):109–115. DOI: 10.5624/isd.2015.45.2.109
  17. Bodner L. Central odontogenic fibroma. A case report. Int J Oral Maxillofac Surg 1993;22(3):166–167. DOI: 10.1016/s0901-5027(05)80244-9
  18. Doyle JL, Lamster IB, Baden E. Odontogenic fibroma of the complex (WHO) type: report of six cases. J Oral Maxillofac Surg 1985;43(9):666–674. DOI: 10.1016/0278-2391(85)90191-0
  19. Daskala I, Kalyvas D, Kolokoudias M, et al. Central odontogenic fibroma of the mandible: a case report. J Oral Sci 2009;51(3):457–461. DOI: 10.2334/josnusd.51.457
  20. Correa Pontes FS, Lacerda de Souza L, Paula de Paula L, et al. Central odontogenic fibroma: an updated systematic review of cases reported in the literature with emphasis on recurrence influencing factors. J Craniomaxillofac Surg 2018;46(10):1753–1757. DOI: 10.1016/j.jcms.2018.07.025
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.