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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2021, Number 1

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Rev Mex Cir Bucal Maxilofac 2021; 17 (1)

Cemento-ossifying fibroma

Secchi ?A, Vázquez PDTJ, Sepúlveda VC, Núñez BC, Quezada RG, Carrasco RA, Raposo CA

Language: Spanish
References: 21
Page: 17-23
PDF size: 350.56 Kb.


ABSTRACT

The cemento-ossifying fibroma (COF) is a benign odontogenic neoplasm, of mesenchymal tissue without odontogenic epithelium; its most frequent location at the level of premolars and mandibular molars, presented higher prevalence in women between the second and fourth decade. The following article presents a case of COF, in which clinical, imaging, histopathological, and treatment characteristics are described, comparing them with current evidence. The case belongs to a patient treated at the Barros Luco Care Center; distinguishing similar epidemiological characteristics with those proposed by global evidence. The treatment consisted of marginal resection and reconstruction with non-vascularized autologous graft supplemented with sticky bone and platelet-rich in fibrin. The diagnosis of COF should always be supported by histopathological analysis, complementing it with three-dimensional imaging studies to determine the extent and compromised bone or dental structures, it is necessary to discard a wide variety of differential diagnostics that have similar presentation but different behaviors. The treatment of this lesion should be well analyzed, considering the extent and relationship with neighboring structures, the quality of life can be affected by the potential increase in size and functional commitment, considering that it has a low recurrence.


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