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Diagnostic considerations in central odontogenic fibroma of the maxilla: 2 case reports

Imaging Science in Dentistry 2019년 49권 3호 p.229 ~ 234
 ( Seo Yu-Kyeong ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology

 ( Kang Ju-Hee ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
 ( Lee Sae-Rom ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
 ( Choi Yong-Suk ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
 ( Hwang Eui-Hwan ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
 ( Oh Song-Hee ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology

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.

키워드

Benign Tumor; Diagnosis, Differential; Myxofibroma; Odontogenic Tumors
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