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Related Experiment Videos

Odontogenic fibroma.

C L Dunlap1

  • 1Department of Oral and Maxillofacial Pathology, University of Missouri, Kansas City, School of Dentistry, 64108, USA.

Seminars in Diagnostic Pathology
|December 10, 1999
PubMed
Summary
This summary is machine-generated.

The odontogenic fibroma, a rare benign tumor, presents diagnostic challenges due to controversial histologic features. Despite this, it shows a low recurrence rate after curettage treatment.

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Area of Science:

  • Oral Pathology
  • Odontogenic Tumors
  • Surgical Oncology

Background:

  • The odontogenic fibroma is a rare odontogenic tumor with debated histologic characteristics.
  • Clinical and radiographic features are established, but histological classification remains controversial.
  • The World Health Organization (WHO) recognizes the legitimate odontogenic fibroma.

Purpose of the Study:

  • To clarify the controversial histologic aspects of the odontogenic fibroma.
  • To discuss the benign behavior and low recurrence rate of this tumor.
  • To differentiate the odontogenic fibroma from its variants and mimics.

Main Methods:

  • Review of clinical and radiographic presentations of odontogenic fibromas.
  • Analysis of histological features, including variants like granular cell and giant cell-like tumors.

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  • Comparison with peripheral odontogenic fibroma and normal dental follicle histology.

    • Main Results:

    • The odontogenic fibroma exhibits benign behavior with a low recurrence rate post-curettage.
    • Histologic variants include granular cell and hybrid odontogenic fibroma-giant cell-like tumor.
    • Peripheral odontogenic fibroma shares histomorphology with the central tumor.
    • Normal dental follicles can mimic odontogenic fibromas histologically.

    Conclusions:

    • The World Health Organization (WHO) recognized odontogenic fibroma is the definitive entity.
    • Accurate histological diagnosis is crucial for appropriate management and differentiating from mimics.
    • Despite diagnostic controversies, the odontogenic fibroma demonstrates favorable clinical behavior.