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Central ossifying fibroma of mandible
  1. Kumar Nilesh1,
  2. Prashant Punde1,
  3. Nitin Shivajirao Patil2 and
  4. Amol Gautam3
  1. 1Oral & Maxillofacial Surgery, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, India
  2. 2Department of Orthopedics, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, India
  3. 3Department of Radiodiagnosis, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, India
  1. Correspondence to Dr Kumar Nilesh; drkumarnilesh{at}yahoo.com

Abstract

Ossifying fibroma (OF) is a rare, benign, fibro-osseous lesion of the jawbone characterised by replacement of the normal bone with fibrous tissue. The fibrous tissue shows varying amount of calcified structures resembling bone and/or cementum. The central variant of OF is rare, and shows predilection for mandible among the jawbone. Although it is classified as fibro-osseous lesion, it clinically behaves as a benign tumour and can grow to large size, causing bony swelling and facial asymmetry. This paper reports a case of large central OF of mandible in a 40-year-old male patient. The lesion was treated by segmental resection of mandible. Reconstruction of the surgical defect was done using avascular fibula bone graft. Role of three-dimensional printing of jaw and its benefits in surgical planning and reconstruction are also highlighted.

  • oral and maxillofacial surgery
  • dentistry and oral medicine

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Footnotes

  • Contributors KN, PP and NP were involved in case management. KN and AG were involved in manuscript writing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.