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Cemento-Ossifying Fibroma- A Case Report

Ugrappa Sridevi, Ajay Jain, Neeraja Turagam and Mudrakola Durga Prasad

Background: Cemento-Ossifying Fibroma (COF) is considered by most as relatively rare, benign, non-odontogenic neoplasm of the jaw bones and other craniofacial bones characterized by replacement of normal bone by fibrous tissue and varying amounts of newly formed bone or cementum-like material, or both. It commonly affects, adults between the third and fourth decade of life and often shows variations in clinical, radiographic, and histopathologic features, hence require different treatment options.
Purpose: This paper attempts to diagnose a case of cemento-ossifying fibroma of the jaw not only based on clinical characteristics but also radiographic and histopathologic features as an adjunct.
Case: The patient was diagnosed with cemento-ossifying fibroma, presenting its clinical presentation, diagnostic imaging and histopathology features, as well as its surgical treatment.
Conclusion: The diagnosis of cemento-ossifying fibroma of the jaw can be established based on clinical, radiographic and histo-pathological features. It is a benign growth, considered to originate from the periodontal ligament and presents as a slow-growing lesion, but may cause deformity if left untreated. However, these tumors may exhibit variations in their neoplastic behaviours. 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. We present a case of cemento-ossifying fibroma in relation to the lower left one-third of the face, and its management.