Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Diagnostic considerations in central odontogenic fibroma of the maxilla: 2 case reports

  • Seo, Yu-Kyeong (Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University) ;
  • Kang, Ju Hee (Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University) ;
  • Lee, Sae Rom (Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University) ;
  • Choi, Yong-Suk (Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University) ;
  • Hwang, Eui-Hwan (Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University) ;
  • Oh, Song Hee (Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University)
  • Received : 2019.06.27
  • Accepted : 2019.07.19
  • Published : 2019.09.30
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Abstract

Central odontogenic fibroma (COF) is defined as a fibroblastic odontogenic tumor characterized by varying density of the tooth epithelium. It is an extremely rare benign neoplasm that occurs in the maxilla and the mandible; only a few reports of COF are available in the literature. Diagnosis of the lesion based only on the radiological features of COF is difficult due to variation in the findings regarding this condition. This report describes 2 clinical cases of middle-aged women with COF. Clinical examination revealed palatal mucosal depression; additionally, oral examination, as well as panoramic radiographs, intraoral radiographs, and computed tomography scans, revealed severe root resorption. This report highlights the clinical and radiological imaging features of COF, with the goal of enabling straightforward differential diagnosis of the lesion by the clinician and thereby appropriate treatment of the patient.

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References

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