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Conservative Management of Central Cemento-Ossifying Fibroma
Pedro Henrique Silva Gomes-Ferreira1, Leandro Carlos Carrasco, Danila de Oliveira
1*Division of Oral and Maxillofacial Surgery, Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho-UNESP, Araçatuba †Medical Sciences, Faculty of Medical Sciences, University of Campinas-Unicamp, Campinas ‡Department of Basic Sciences, Araçatuba Dental School, University Estadual Paulista, (UNESP) §Department of Implantology, Aracatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho-UNESP, Araçatuba ||Division of Oral and Maxillofacial Surgery, Bauru Dental School, University of Sao Paulo-USP, Bauru, Brazil.
Abstract:
Central cemento-ossifying fibroma is characterized by the combined production of osteoid and cementoid tissue. Radiographically, this lesion is presented as an outlined cortical and variable radiopaque spots, also can be present complete radiolucent or different degrees of radiopacity. The recommended treatment is curettage or enucleation, and the recurrence rate is less than 5%. Considering that surgical treatment is invasive, mainly in large lesions, this study aims to report a patient in whom conservative treatment was carried out by involving the preservation of teeth, with a long-term follow-up. A 48-year-old black female patient, diagnosed with central cemento-ossifying fibroma in mandible, treated conservatively and a 2 years of follow-up. It was concluded that the conservative treatment with a long term of follow-up for maintaining teeth was satisfactory.
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