Juvenile trabecular ossifying fibroma

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Juvenile trabecular ossifying fibroma
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Nymphea Pandit, Nitin Saini, Shikha Kler, Shaifi Jindal


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Juvenile trabecular ossifying fibroma

Year: 2014 | Doi: 10.4103/0972-124X.131336

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous lesion that often manifests aggressive clinical behavior and is primarily seen in young adults. It is categorized into two distinct histological types: trabecular JOF (TrJOF) and psammomatoid JOF (PsJOF), both of which have specific predilections for various age groups. This article presents a case study of a recurrent juvenile trabecular ossifying fibroma in a 13-year-old boy, highlighting its characteristics, treatment, and follow-up over a three-month period post-surgery.

Recurrence and Treatment

The presented case documented a 13-year-old male patient who developed a painless swelling in the anterior mandibular region after initially having the lesion removed. Despite treatment, the fibroma reemerged aggressively within weeks, prompting complete surgical excision of the lesion along with adjacent periodontal ligament and periosteum. Histopathological analysis confirmed the diagnosis of juvenile trabecular ossifying fibroma, characterized by immature bone tissue with plump osteocytes and a highly cellular connective tissue. The treatment aimed to reduce the risk of recurrence, reflected by the patient's lack of recurrence during the three-month follow-up period.

Conclusion

Given the aggressive nature and high recurrence rate associated with juvenile trabecular ossifying fibroma, early diagnosis and comprehensive treatment strategies are crucial. This case underscores the importance of complete surgical resection, along with meticulous attention to surrounding tissues. Continued follow-up and monitoring are essential in managing this uncommon clinical entity, as its rarity poses challenges for clinicians in both diagnosis and effective treatment protocols.

FAQ section (important questions/answers):

What is juvenile ossifying fibroma (JOF)?

Juvenile ossifying fibroma is a rare, aggressive fibro-osseous lesion typically found in young adults. It is characterized by a strong tendency to recur and is classified into two types: trabecular JOF and psammomatoid JOF.

How is juvenile trabecular ossifying fibroma treated?

The treatment involves complete surgical excision of the tumor along with the surrounding periodontal ligament and periosteum. This approach aims to minimize recurrence, as aggressive behavior is noted if the initial removal is incomplete.

What are the common symptoms of juvenile ossifying fibroma?

Symptoms typically include painless swelling in the affected area. The lesion can sometimes grow rapidly, leading to noticeable swelling and possible mobility of adjacent teeth. Regular follow-up after treatment is crucial to monitor for recurrence.

What is the recurrence rate of juvenile ossifying fibroma?

Recurrence rates for juvenile ossifying fibromas can range from 30% to 58%, highlighting the importance of complete surgical resection and careful post-operative monitoring to reduce the risk of reoccurrence.

What is the significance of histopathology in diagnosing JOF?

Histopathological examination reveals specific features such as irregular trabeculae of immature bone tissue and a highly cellular connective tissue, confirming the diagnosis of juvenile trabecular ossifying fibroma and aiding in its differentiation from other lesions.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Juvenile trabecular ossifying fibroma”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In medical literature, a table usually refers to a systematic arrangement of data or information to facilitate easy reading and comparison. Tables can include various types of statistical data, measurements, or observations relevant to the nuances of medical conditions or treatments, enhancing clarity and immediate understanding for both professionals and researchers.

2) Swelling:
Swelling is a common clinical manifestation in various medical conditions, indicating inflammation or the presence of tumors. In the context of juvenile ossifying fibroma, swelling signifies the tumor's aggressive growth behavior, drawing attention to the diagnostic process, implications for patient treatment, and post-operative monitoring for recurrence to prevent further complications.

3) Arrow:
In medical documentation, arrows typically indicate direction or motion in diagrams, highlighting specific areas of interest such as lesions or anatomical structures. They assist in providing clearer illustrations of findings, procedures, or anatomical relationships, making it easier for clinicians, researchers, and students to understand complex information efficiently.

4) Relative:
In a medical context, the word 'relative' often refers to the relationship of one condition or symptom to another, which could involve correlations or comparisons. Understanding relative significance aids in clinical assessments, facilitating a more comprehensive diagnosis and treatment plan, and contextualizing findings within familial or epidemiological studies.

5) Post:
The term 'post' relates to aftercare or follow-up procedures in medical management. In surgeries, post-operative care is crucial for assessing recovery, monitoring for complications, and managing any arising issues. Effective post-operative strategies can significantly influence patient outcomes and decrease recurrence risks in aggressive conditions like juvenile ossifying fibroma.

6) Discussion:
The discussion section in a medical article is key for interpreting findings, comparing them with existing literature, and understanding the broader implications of a study. It helps to position research within the larger field of knowledge, allowing for exploration of unexpected results, limitations, and future directions for research and clinical practice.

7) Irritation:
Irritation is a significant factor in the development of various oral lesions, including juvenile ossifying fibroma. It can result from local trauma or chronic inflammatory conditions, making understanding the sources of irritation crucial for both prevention and management. Addressing irritants may reduce recurrence and improve patient outcomes following surgical interventions.

8) Evolution:
Evolution in a medical context often refers to the progression and variability of diseases over time, including changes in classification, management strategies, and outcomes. Understanding the evolution of conditions like juvenile ossifying fibroma aids healthcare professionals in grasping historical perspectives, thus influencing current practices and future research trajectories in the field.

9) Activity:
Activity denotes the dynamic processes within biological systems, particularly relating to cellular growth and repair mechanisms. In conditions like juvenile ossifying fibroma, increased activity of involved tissues, such as the periodontal ligament, contributes to lesion behavior, thus impacting diagnosis, treatment decisions, and understanding recurrence patterns, which are vital for effective management.

10) Dressing:
Medical dressing refers to materials applied to a wound to protect and promote healing. In oral surgery, appropriate dressings help mitigate discomfort, prevent infection, and support healing. Utilizing the correct type of dressing is essential to ensure optimal recovery outcomes, especially in aggressive lesions where complication risks are heightened following surgical procedures.

11) Bleeding:
Bleeding is a critical sign often encountered in surgical or pathological contexts. It can indicate underlying issues such as trauma, malignancy, or injury to adjacent blood vessels. Monitoring and managing bleeding during and after surgical interventions for conditions like juvenile ossifying fibroma is essential to ensure patient safety and recovery success.

12) Account:
Account in a medical context refers to documenting cases or observations in literature, highlighting clinical phenomena that can aid in understanding disease behavior and treatment outcomes. Continuous accumulation of case accounts improves knowledge base, guiding future treatments and clinical decisions, particularly concerning rare conditions like juvenile ossifying fibroma and their peculiarities.

13) Hygiene (Hygienic):
Hygiene is paramount in dental and medical practice, influencing patient outcomes significantly. Good oral hygiene helps prevent inflammatory responses in the oral cavity, which can exacerbate or lead to reactive conditions like juvenile ossifying fibroma. Emphasizing hygiene practices is essential for promoting healing and ensuring effective postoperative management and long-term health.

14) Nature:
Nature refers to the inherent characteristics and behaviors of biological entities or conditions. In medical discussions, understanding the nature of diseases like juvenile ossifying fibroma influences diagnostic, therapeutic, and management strategies, reflecting the biological and clinical realities underlying patient presentations and treatment responses.

15) Debate:
Debate in a medical context signifies differing opinions among professionals about classification, treatment protocols, or disease management, which may impact clinical practice. Engaging in constructive debate allows for the evolution of medical knowledge, driving research, innovation, and ultimately enhancing patient care for conditions with contentious or varying viewpoints, like juvenile ossifying fibroma.

16) India:
India plays a crucial role in the global health landscape, particularly regarding the incidence and study of various diseases, including oral lesions like juvenile ossifying fibroma. Research outputs from India contribute significantly to international medical literature, providing insights into regional variations, treatment responses, and the broader epidemiology of such conditions.

17) Line:
In medical contexts, 'line' can denote established protocols or treatment pathways. Understanding preferred lines of treatment for conditions facilitates optimal outcomes and informs clinical decisions, particularly in managing complex cases such as juvenile ossifying fibroma, requiring thorough assessment and evidence-based strategies to mitigate recurrence and ensure patient safety.

18) Pur:
Poor references a deficiency in quality or condition, often pertaining to health, hygiene, or socioeconomic status. In clinical contexts, poor oral hygiene can exacerbate conditions like juvenile ossifying fibroma or lead to complications during treatment, necessitating a comprehensive approach to patient education and management to improve health outcomes.

19) Male:
In medical literature, male refers to the gender classification relevant to the study of disease prevalence and behavior. In some contexts, certain diseases may exhibit gender-specific tendencies, impacting diagnosis, treatment approaches, and research focus. Understanding gender implications can enhance tailored patient care and contribute to more effective public health strategies.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Juvenile trabecular ossifying fibroma’. Further sources in the context of Science might help you critically compare this page with similair documents:

Young patient, Oral hygiene, Surgical excision, Complete removal, Long-term follow-up, Histopathological examination, High recurrence rate, Painless swelling, Periodontal Ligament, Classification system, Clinical behavior, Histopathological features, Complete surgical resection, Recurrent case.

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