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Case Reports in Dentistry
Volume 2014, Article ID 204258, 4 pages
Case Report

Extensive Presentation of Central Ossifying Fibroma Treated with Conservative Surgical Excision

1Universidade Vale do Rio Verde (UninCor), Avenida Castelo Branco 82, Chácara das Rosas, 37410-000, Três Corações, MG, Brazil
2Faculdade de Odontologia de Ribeirão Preto (FORP/USP), Ribeirão Preto, SP, Brazil

Received 5 October 2014; Accepted 9 November 2014; Published 23 November 2014

Academic Editor: Daniel Torrés-Lagares

Copyright © 2014 Matheus Henrique Lopes Dominguete et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Central ossifying fibroma is a benign slow-growing tumor of mesenchymal origin and it tends to occur in the second and third decades of life, with predilection for women and for the mandibular premolar and molar areas. Clinically, it is a large asymptomatic tumor of aggressive appearance, with possible tooth displacement. Occasionally treated by curettage enucleation, this conservative surgical excision is showing a recurrence rate extremely low. The objective of this study was to report a case of a 44-year-old woman, presenting a very large ossifying fibroma in the mandible, which was successfully treated with curettage, and to conduct a brief literature review of this lesion, focusing on the histology, clinical behavior, and management of these uncommon lesions.