Juvenile ossifying fibroma of the jaw with endocoronalysis. Clinical case report.

Abstract

Introduction: Ossifying fibromas (OF) are well-defined benign lesions in the maxillary craniofacial region. Juvenile ossifying fibroma is a rare type of OF, with invasive behavior, high incidence and present in young men, with maxillary predominance in the first and second decade of life. Objective: To report and describe the management of fibro-osseous lesion in the right mandibular area in a 10-year-old male patient. Materials and methods: Clinical examination together with request for complementary tests, a panoramic radiograph was requested and after the radiographic finding, a cone beam was requested.With all the background of the presumptive diagnosis, an excisional biopsy is taken for confirmation. All prior signed informed consent. Results: Male patient 10 years 9 months old, presents apical radiolucent lesion of defined limits in relation to tooth 4.5 in intraosseous evolution with endocoronalysis and permanence of tooth 8.5. Tooth 4.5 extraction and lesion exeresis are performed. Diagnostic confirmation by histopathological study (biopsy) as ossifying fibroma. Conclusion: Carrying out a good diagnosis and radiographic analysis is important not only to verify caries lesions, but also to investigate lesions originating in bone tissues. Its early detection serves to avoid surgeries that include resection of large bone areas, tooth loss and decreased quality of life. Biopsy is essential to determine overlapping histological characteristics of the lesion, clinical and surgical management.