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ABSTRACT
Central Ossifying Fibroma as a Silent Expander: A Case Report
Rahul Bopte , Birangane R S , Kanchan M Birajdar , Rohan Chaudhari , Pratik Parkarwar
ABSTRACT
Central ossifying fibroma is a benign fibro-osseous neoplasm characterized by the replacement of normal bone by fibrous connective tissue containing varying amounts of mineralized material. It commonly affects the mandible in females during the second to fourth decades of life. This report presents a case of central ossifying fibroma in a 32-year-old female patient who reported with a painless swelling in the left posterior mandibular region for one year. Clinical examination revealed a solitary expansile swelling associated with cortical expansion and obliteration of the buccal vestibule. Radiographic investigations demonstrated a well-defined mixed radiolucent-radiopaque lesion extending from the 35 to 38 region with cortical thinning and root resorption. Histopathological examination showed fibrocellular connective tissue with immature bony trabeculae and calcifications suggestive of central ossifying fibroma. Surgical excision was planned. This case highlights the importance of correlating clinical, radiographic, and histopathological findings for accurate diagnosis of fibro-osseous lesions of the jaws.
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