JUVENILE PSAMMOMATOID OSSIFYING FIBROMA: A CASE REPORT

Abstract

Ossifying fibroma represent neoplastic entities and are separated into trabecular and psammomatoid variants. A 10-year-old girl sought dental care, complaining of facial volume increase that had been present for a year. On extraoral exam, an increase in volume on the left side of the lower third of the face, causing facial asymmetry, was observed. On intraoral examination, there was swelling near the first lower left molar with similar coloring to the mucosa. On radiographic examination, a unilocular radiolucent lesion with scalloped edges, involving the mandibular body and causing root resorption of the first lower molar, was noted. An incisional biopsy was performed and a final diagnosis of juvenile psammomatoid ossifying fibroma was made. Finally, bloc resection of the lesion and reconstruction with a titanium plate were carried out. After 3 months, the patient remains without signs of recurrence. Ossifying fibroma represent neoplastic entities and are separated into trabecular and psammomatoid variants. A 10-year-old girl sought dental care, complaining of facial volume increase that had been present for a year. On extraoral exam, an increase in volume on the left side of the lower third of the face, causing facial asymmetry, was observed. On intraoral examination, there was swelling near the first lower left molar with similar coloring to the mucosa. On radiographic examination, a unilocular radiolucent lesion with scalloped edges, involving the mandibular body and causing root resorption of the first lower molar, was noted. An incisional biopsy was performed and a final diagnosis of juvenile psammomatoid ossifying fibroma was made. Finally, bloc resection of the lesion and reconstruction with a titanium plate were carried out. After 3 months, the patient remains without signs of recurrence.