Maxillo-Mandibular Cemento-ossifying Fibroma: A Rare Case Report

Area of Science:

• Oral and Maxillofacial Surgery
• Pathology
• Oncology

Background:

• Cemento-ossifying fibroma (COF) is a benign fibro-osseous neoplasm of the jaws.
• COFs are characterized by fibrous tissue and mineralized material resembling bone or cementum.
• Most COFs occur in the mandible, with rare reports in the maxillary sinus or bilaterally in the mandible.

Observation:

• This paper presents a unique case of COF affecting both the maxilla and mandible in the same patient.
• This presentation is exceedingly rare, with only one similar case previously documented in the literature.
• Cemento-ossifying fibromas typically exhibit a low recurrence rate and are managed via enucleation.

Findings:

• A rare case ofCemento-ossifying fibroma (COF) simultaneously occurring in the maxilla and mandible is described.
• This simultaneous occurrence in both jaws represents a significant deviation from the typical presentation of COF.
• The case highlights the potential for rare multifocal presentations of this benign fibro-osseous lesion.

Implications:

• This case broadens the understanding of the anatomical distribution of Cemento-ossifying fibromas.
• It underscores the importance of considering rare presentations in the differential diagnosis of jaw lesions.
• Further investigation into the etiology and behavior of multifocal COFs may be warranted.