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What lies within?

Nidhi Gupta1, Manohar Bhat2, Rajesh Sharma3

  • 1PG Student, Department of Pedodontics and Preventive Dentistry, Jaipur Dental College, Jaipur, Rajasthan, India.

International Journal of Clinical Pediatric Dentistry
|September 11, 2014
PubMed
Summary
This summary is machine-generated.

A rare central odontogenic fibroma was diagnosed in a 12-year-old child presenting with lower front teeth gaps. Surgical removal and biopsy confirmed this uncommon odontogenic tumor, highlighting its unusual presentation.

Keywords:
Odontogenic fibromaodontogenic tumor.

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Area of Science:

  • Dentistry
  • Oral Pathology
  • Oncology

Background:

  • Odontogenic tumors are a diverse group of neoplasms originating from odontogenic tissues.
  • Central odontogenic fibroma (COF) is a rare benign tumor within this group, often presenting in adults.
  • This case highlights a rare occurrence of COF in a pediatric patient with specific clinical and radiographic features.

Observation:

  • A 12-year-old child presented with noticeable gaps between lower anterior teeth.
  • Opg revealed an impacted and malformed tooth 43 with an enlarged pulp chamber and a unilocular radiolucency around its crown.
  • The lesion's location and appearance were suggestive of an odontogenic tumor.

Findings:

  • Surgical enucleation under local anesthesia (LA) was performed.
  • Histopathological examination of the biopsy confirmed the diagnosis of Central Odontogenic Fibroma.
  • The tumor's rarity was noted due to the patient's young age, the anterior location, and its specific clinical behavior.

Implications:

  • This case underscores the importance of considering rare odontogenic tumors in pediatric dental patients, even with atypical presentations.
  • Accurate histopathological diagnosis is crucial for appropriate management of odontogenic tumors.
  • Reporting such rare cases contributes valuable data to the understanding of odontogenic tumor epidemiology and behavior.