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Published on: August 15, 2025
Dislocation of an upper third molar by an ossifying fibroma--case report
Arnim Godt1, Dirk Gülicher, Matthias Kalwitzki
1Department of Orthodontics, University Tübingen, Osianderstrasse 2-8, Tübingen, Germany. arnim.godt@med.uni-tuebingen.de
Summary
Ossifying fibromas (OFs) can occur in adolescents, sometimes mimicking cysts. This case details an OF causing tooth displacement and significant bleeding during removal.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Pathology
Background:
- Ossifying fibromas (OFs) are rare benign bone tumors.
- Their occurrence in pediatric and adolescent populations is documented, with variable growth patterns.
Observation:
- A 15-year-old female presented with an ossifying fibroma.
- The tumor displaced a maxillary third molar into the maxillary sinus.
- Initial rapid growth was followed by near cessation before surgical intervention.
Findings:
- The ossifying fibroma mimicked a follicular cyst clinically and radiographically.
- Unusual origin led to significant tooth migration.
- Tumor removal was complicated by profuse bleeding.
Implications:
- Highlights the diverse presentation of ossifying fibromas in adolescents.
- Underscores the importance of considering OFs in differential diagnosis of jaw lesions.
- Demonstrates potential surgical complications, including hemorrhage, associated with OFs.
