Central odontogenic fibroma
Journal name: Journal of Indian Society of Periodontology
Original article title: Central odontogenic 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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Sanjay Venugopal, Satish Radhakrishna, Akshatha Raj, Anshul Sawhney
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Central odontogenic fibroma
Year: 2014 | Doi: 10.4103/0972-124X.131341
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Central odontogenic fibroma (COF) is a rare benign tumor classified as an odontogenic tumor of ectomesenchymal origin, accounting for only 0.1% of all odontogenic tumors. COF typically presents as a slow-growing lesion that causes cortical expansion and may appear as either unilocular or multilocular in radiographic images. Despite its benign nature, it can lead to complications such as root resorption and displacement of adjacent teeth. A case study involving a 49-year-old male with COF in the mandible highlights the clinical, radiological, and histopathological features associated with this tumor.
Surgical Management and Histopathology
The patient's case was characterized by a unilocular radiolucent lesion that was asymptomatic and unsuspected until dental evaluation highlighted its presence. After conducting an orthopantomogram that revealed generalized bone loss and the lesion's characteristics, surgical enucleation was planned. The procedure involved an incision, raising a flap, and excising the tumor, followed by the application of a mixture of platelet-rich fibrin and demineralized bone matrix for filling the void. Histopathological analysis confirmed the diagnosis of COF, showing an arrangement of mature collagen fibers and inactive odontogenic epithelium.
Conclusion
COF is a rare entity that can mimic other odontogenic conditions, making accurate diagnosis challenging. The definitive diagnosis relies heavily on histological evaluation in conjunction with clinical and imaging findings. The patient in the reported case exhibited successful surgical outcomes, with no recurrence observed over a one-year follow-up period. As COF is uncommon, awareness of its existence among dental professionals is crucial for proper diagnosis and treatment.
FAQ section (important questions/answers):
What is Central Odontogenic Fibroma (COF)?
Central Odontogenic Fibroma (COF) is a rare benign tumor representing 0.1% of odontogenic tumors. It typically grows slowly, leading to cortical expansion and can appear unilocular or multilocular radiologically.
What symptoms did the 49-year-old patient experience?
The 49-year-old male patient exhibited no symptoms. He was unaware of the lesion's presence and had no history of swelling, discomfort, or pain, despite having a unilocular radiolucent area in his jaw.
How was the COF surgically treated in the patient?
Surgical enucleation of the lesion was performed, followed by the placement of a mixture of bioresorbable demineralized bone matrix and platelet-rich fibrin to fill the defect. Good healing was observed post-surgery.
What are the histopathological features of COF?
Histological examination of COF shows mature collagen fibers and active fibroblasts, along with islands of inactive odontogenic epithelium. These features characterize it as a simple type COF.
What is the prognosis for COF after surgery?
COF typically has a good prognosis following surgical removal. Recurrence is rare, and in the reported case, no recurrence was observed during one year of follow-up.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Central odontogenic 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:
The term 'Table' often refers to a systematic arrangement of data. In medical literature, tables are used to organize clinical characteristics, treatment protocols, and outcomes for better interpretation. They provide a visual representation that aids in the comparison of different cases or treatment results, enhancing understanding and facilitating discussions.
2) Rich (Rch):
In a medical context, 'Rich' can denote an abundance of certain components or elements beneficial for healing, such as 'Platelet-Rich Fibrin,' which is used in surgical procedures. The richness of such biological materials can promote tissue regeneration and healing, making them significantly important in oral and maxillofacial surgery.
3) Male:
The term 'Male' is relevant in clinical studies to identify the gender of patients. In the specific case presented, a 49-year-old male patient was diagnosed with central odontogenic fibroma. Gender can play a role in disease prevalence, treatment responses, and outcomes, which is crucial for understanding patient demographics.
4) Incision:
In surgical practice, 'Incision' refers to a cut made in the skin or tissues during an operation. The surgical method chosen can influence healing and recovery. The specific technique, such as a crevicular incision in the described surgery, affects the surgical outcome, including aesthetics and functionality post-procedure.
5) Swelling:
'Swelling' is a common symptom following surgical interventions or due to pathological conditions. It indicates inflammation or accumulation of fluids in tissues, often requiring monitoring. In the case reported, the absence of swelling suggests a successful procedure with good healing, contrasting with complications that may arise from ineffective surgical techniques.
6) Account:
'Account' in a medical study often refers to documenting or describing cases or patient experiences. In the context of this report, the account of a 49-year-old male patient with a rare tumor illustrates the clinical features, treatment process, and postoperative outcomes, contributing to the overall understanding of central odontogenic fibroma.
7) Blood:
'Blood' is vital in medical contexts, often analyzed for various parameters like hemoglobin levels, clotting ability, and the presence of diseases. The surgical procedure mentioned involved drawing blood for creating platelet-rich fibrin, crucial for enhancing healing at the surgical site by promoting tissue regeneration and reducing complications.
8) Tear:
The term 'Tear' is employed in various contexts, including the description of shapes in imaging, such as a 'tear drop shape' for a radiolucent area seen on orthopantomographs. It helps in understanding the morphology of lesions, which aids in diagnosis and treatment planning for odontogenic tumors.
9) Pain:
'Pain' is a critical symptom that indicates underlying issues and guides clinical decision-making. The absence of pain in the case described suggests that the tumor was asymptomatic, emphasizing the importance of regular dental check-ups to identify and treat potential lesions before they cause significant symptoms or complications.
10) Transformation (Transform, Transforming):
'Transformation' refers to changes in tissue or cellular states, particularly relevant in discussions about tumors. In the cited case of central odontogenic fibroma, the tumor shows no tendency for transformation into malignant forms, highlighting its benign nature and providing a favorable prognosis after surgical removal.
11) Inflammation:
Inflammation signifies the body's response to injury or infection, characterized by redness, swelling, heat, and pain. In the reported case, generalized inflammation was observed, indicating potential periodontal issues, which necessitates careful assessment and management to prevent complications and ensure effective healing during and after surgical procedures.
12) Siddhartha (Siddha-artha):
'Siddhartha' refers to Sri Siddhartha Dental College and Hospital, the institution where the patient received care. The hospital's name signifies its role in providing dental education and treatment, emphasizing the importance of dental schools in training future practitioners and treating diverse oncology cases, contributing to the field of oral health.
13) Discussion:
'Discussion' in academic literature consolidates findings, comparing observations with existing knowledge and theories. It evaluates the implications of the reported case on current practices, treatment methodologies, and understanding of central odontogenic fibroma, fostering a holistic view of patient care and promoting further investigation into such rare lesions.
14) Bleeding:
'Bleeding' is a potential complication during or after surgical procedures. Monitoring bleeding is essential to avoid excessive loss and related risks. The surgical approach described aimed to minimize bleeding through careful incision and technique, ensuring patient safety, comfort, and promoting optimal postoperative recovery without complications.
15) Relative:
In medical discussions, 'Relative' is often used when comparing two or more cases, conditions, or risks. It can also refer to patient demographics, such as family history. Understanding relative risks and outcomes adds depth to clinical assessment, influencing treatment choices and patient management strategies.
16) Chennai:
'Chennai' is a major city in India that houses various medical facilities and research institutions. Mentioning the city in the context of medical procedures indicates the geographical setting of the case report, relevant for readers familiar with healthcare systems and services in different regions and their role in patient management.
17) Filling (Filled):
'Filled' in surgical contexts pertains to the action of placing material, such as grafts or fillers, into a cavity post-excision. In this case, the cavity from which the odontogenic fibroma was removed was filled with a mixture of platelet-rich fibrin and bone graft, facilitating tissue healing and restoration.
18) Nature:
The 'Nature' of a condition or lesion provides insight into its behavior, characteristics, and implications for treatment. In the document, the nature of the central odontogenic fibroma as benign yet potentially complex is key for prognosis; understanding its nature influences clinical management and long-term follow-up strategies.
19) India:
'India' serves as an important geographical context for the medical case discussed. It highlights the location of the healthcare facility involved and reflects the healthcare practices, regulations, and access to medical education in the country, thus impacting understanding the case within the broader scope of regional healthcare needs.
20) Silk:
'Silk' in this context refers to the material used for suturing during surgical procedures. It is a common choice owing to its strength and minimal tissue reaction. Using silk sutures in the surgical procedure showcased its significance in ensuring effective closure of incisions and promoting optimal healing and recovery.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Central odontogenic fibroma’. Further sources in the context of Science might help you critically compare this page with similair documents:
Clinical feature, Informed consent, Histological examination, Surgical Procedure, Surgical enucleation, Cortical expansion, Periodontal pocket, Odontogenic tumor, Platelet-rich-fibrin, Root resorption, Orthopantomogram, Unilocular radiolucent area, Central odontogenic fibroma, Multilocular radiolucent, Mandibular left premolar, Osseo-graft, Histopathologically characterized, Simple type, Complex type, Generalized bone loss, Postoperative evaluation, Generalized gingival inflammation.