Central Odontogenic Fibroma Associated with Eruption Disturbance of a Permanent Incisor in a Six-Year-Old Girl

Nakamura Y,Yamaza H,Nonaka K,Masuda K

doi:10.19070/2377-8075-1600043

Abstract

1 Assistant Professor, Department of Oral Biological Science, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-dori, Chuo-ku, Niigata, Japan. 2 Lecturer, Department of Pediatric Dentistry and Special Needs Dentistry, Kyushu University Hospital, Maidashi, Higashi-ku, Fukuoka, Japan. 3 Lecturer, Department of Dental Science, Kyushu University, Maidashi, Higashi-ku, Fukuoka, Japan. 4 Professor, Department of Dental Science, Kyushu University, Maidashi, Higashi-ku, Fukuoka, Japan.

Highlights

Central odontogenic fibroma (COF) is a rare fibroblastic neoplasm of the jaw, which presents as a wellcircumscribed unilocular radiolucent lesion often associated with an impacted tooth
We describe a case of a 6-year-old girl with a unilocular radiolucent lesion around the crown of the impacted right permanent central incisor in the maxilla
Central odontogenic fibroma (COF) is a rare fibroblastic neoplasm in the jaw, characterized by varying amounts of inactivelooking odontogenic epithelium embedded in a mature fibrous stroma [1,2,3]

Summary

Introduction

Central odontogenic fibroma (COF) is a rare fibroblastic neoplasm in the jaw, characterized by varying amounts of inactivelooking odontogenic epithelium embedded in a mature fibrous stroma [1,2,3]. Comprehensive assessment of clinical, radiological and histological findings is important in a radiolucent lesion associated with a tooth germ in a child to make a proper diagnosis and choose the best treatment This case report describes a COF found in the anterior maxilla of a child with a mixed dentition. A computed tomograph revealed that a small and well-defined radiolucent lesion was associated with the root of the fused deciduous incisors as well as the crown of the unerupted permanent central incisor displaced in a labial ectopic position (Figure 3). Based on these findings, a clinical diagnosis of maxillary cyst or neoplasm involving the unerupted maxillary permanent central incisor was made. The patient was followed up for 8 years, and developed an acceptable anterior occlusion with no signs of recurrence

Discussion

Conclusion