NUMERO: #20240543

Título: SURGICAL CONSERVATIVE TREATMENT OF AN EXTENSIVE CENTRAL OSSIFYING FIBROMA

Nome do Apresentador: Helena Miguel COTTER

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Central ossifying fibroma (CFO) is a benign fibro-osseous disease characterized by the replacement of bone tissue with a connective tissue matrix. A 33-year-old female presented with an asymptomatic extensive lesion in the anterior mandible, manifesting mild facial asymmetry, evolving over 1 year. Panoramic radiography and cone beam tomography imaging revealed a mixed hypodense and hyperdense image with sclerotic edges, involving the periapex of teeth 33-44, leading to expansion and thinning of cortical bone. The diagnostic hypothesis of CFO was confirmed through incisional biopsy demonstrating irregular bone trabeculae, cellularized fibrous stroma, cementoid calcifications, and absence of osteoblasts. Conservative surgical excision was performed under general anesthesia combining enucleation and curettage. Three months postoperative imaging displayed peripheral bone neoformation at the site, indicating successful treatment. The patient continues to undergo clinical and imaging follow-up every six months, without signs of disease.

Autor 1:  Helena Miguel COTTER

E-mail 1:  [email protected]

Autor 2:   Rogério de Andrade ELIAS

E-mail 2:  [email protected]

Autor 3 :  Ana Carolina PRADO-RIBEIRO e Silva

E-mail 3:  [email protected]

Autor 4:  Pablo Agustin VARGAS

E-mail 4:  [email protected]

Autor 5:  Marcio Ajudarte LOPES

E-mail 5:  [email protected]

Autor 6:  André Caroli ROCHA

E-mail 6:  [email protected]

Autor 7:  Alan Roger SANTOS-SILVA

E-mail 7:  [email protected]