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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
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Year : 2013  |  Volume : 17  |  Issue : 2  |  Page : 319
Central odontogenic fibroma of the maxilla


Division of Oral and Maxillofacial Pathology, Rajah Muthaih Dental College and Hospital, Annamalai University, Tamil Nadu, India

Correspondence Address:
V Veeravarmal
Division of Oral and Maxillofacial Pathology, Rajah Muthaih Dental College and Hospital, Annamalai University, Annamalai Nagar, Tamil Nadu - 608 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-029X.119767

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The central odontogenic fibroma (COF) is a rare benign odontogenic mesenchymal tumor of jaw bones. The World Health Organization (WHO) recognizes two variants of COF namely: 1) Epithelial-rich type (WHO) and 2) epithelial-poor type (simple type). Rare variants like ossifying COF, COF associated with giant cell lesions, and amyloid have been documented. This article presents a case of an epithelial-rich variant of COF in a 24-year-old female. It presented as a bony swelling of the maxilla and appeared as a mixed lesion in radiographs. Histopathology showed a highly cellular fibrous connective tissue stroma with plump fibroblasts and long strands of odontogenic epithelium exhibiting mild eosinophilic to clear cytoplasm. Numerous cementum-like hematoxyphilic calcifications of various sizes akin to dentin or acellular cementum were observed. We believe that clinical and radiographic features of this case may add valuable knowledge to the already existing literature.


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