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Radiologic features of central odontogenic fibroma

I Kaffe1, A Buchner

  • 1Department of Oral Pathology and Oral Medicine, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University.

Oral Surgery, Oral Medicine, and Oral Pathology
|December 1, 1994
PubMed
Summary

The central odontogenic fibroma, a rare benign jaw neoplasm, presents diverse radiologic appearances. Its varied presentation necessitates its inclusion in the differential diagnosis for jaw radiolucencies.

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Area of Science:

  • Oral and Maxillofacial Radiology
  • Dental Pathology
  • Neoplasms of the Jaw

Background:

  • The central odontogenic fibroma is a rare benign neoplasm originating from mesenchymal dental tissue.
  • Understanding its diverse radiologic manifestations is crucial for accurate diagnosis.

Purpose of the Study:

  • To review and analyze the radiologic features of central odontogenic fibroma.
  • To highlight its variable appearance in both the mandible and maxilla.

Main Methods:

  • Retrospective analysis of 51 cases (5 new, 46 literature-based).
  • Evaluation of lesion characteristics including location, unilocularity/multilocularity, border definition, and radiodensity.

Main Results:

  • Central odontogenic fibroma occurs in the mandible (55%) and maxilla (45%).

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  • Maxillary lesions favor anterior sites; mandibular lesions favor molar/premolar areas.
  • Predominantly unilocular radiolucent with well-defined borders, but can be multilocular or mixed radiodensity with ill-defined borders.

    • Conclusions:

    • The radiologic appearance of central odontogenic fibroma is highly variable.
    • Consider central odontogenic fibroma in the differential diagnosis of all jaw radiolucencies due to its diverse presentations.