Cemento-Ossifying Fibroid Epulis in the Posterior Maxilla

Area of Science:

• Oral pathology
• Periodontology
• Oral surgery

Background:

• Cemento-ossifying fibroma (COF) is a benign fibro-osseous neoplasm originating from the periodontal ligament.
• It has the capacity to differentiate into cementum and bone.
• COFs typically present as painless, slow-growing masses attached to gingival tissues.

Observation:

• A case of cemento-ossifying fibroma (epulis variant) is presented in a 52-year-old female.
• The lesion was located in the posterior maxilla, attached to the interdental gingiva between teeth 26 and 27 buccally.
• The tumor presented as a smooth, exophytic growth.

Findings:

• Surgical excision of the lesion was performed under general anesthesia.
• Extraction of the involved teeth (26 and 27) and curettage of the tumor bed were necessary.
• A palatal obturator was utilized post-operatively.

Implications:

• This case highlights the successful surgical management of a cemento-ossifying fibroma in the posterior maxilla.
• Complete excision and appropriate post-operative care led to satisfactory healing without recurrence at six months.
• This approach ensures favorable outcomes for benign fibro-osseous lesions of the jaw.