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


 
CASE REPORT - ODONTOGENIC AND FIBRO OSSEOUS LESIONS Table of Contents   
Year : 2020  |  Volume : 24  |  Issue : 4  |  Page : 23-27
A distinct fibro-osseous lesion of the jaws affecting the maxilla


1 Department of Oral Diagnosis, School of Dentistry, University of Sao Paulo, São Paulo, Brazil
2 Department of Oral Pathology, School of Dentistry, University of Sao Paulo, São Paulo, Brazil
3 Department of Stomatology, School of Dentistry, University of Sao Paulo; Department of Virology, Institute of Tropical Medicine of São Paulo, University of São Paulo, São Paulo, Brazil

Correspondence Address:
Wilber Edison Bernaola-Paredes
Department of Oral Diagnosis, School of Dentistry, University of Sao Paulo, São Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jomfp.JOMFP_333_19

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The differential diagnosis of fibro-osseous lesions (FOL) presents oral clinician stomatologists with a challenging task because of their similar clinical, radiographic and histopathological behavior that will also hinder the therapeutic planning. Presentation of case to describe the clinical, radiographic and histopathological features of an unusual case of FOL presented by the patient, a Black woman, and the results obtained with the conservative surgical treatment and 3-month follow-up. The presence of cementum in the histopathological analysis of cemento-osseous dysplasias, according to the current literature, is an important factor for the diagnosis of this lesion. Considering the characteristics presented by this particular case, we could suggest another entity that could be named a benign cemento-osseous lesion with adult onset. Some occurrences, as in the present case, do not fit properly into the current World Health Organization classification, thereby generating some doubts concerning the correct management of these patients. Conservative surgical treatment is the first choice in the management of these lesions due to their self-limiting nature, which show a behavior of clinical involution.


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Journal of Oral and Maxillofacial Pathology | Published by Wolters Kluwer - Medknow
Online since 15th Aug, 2007