Central Odontogenic Fibroma & Central Osteoma of The Mandible

Healthy Female, age 29 years. The tumor was developed without any clinical symptoms for about 2 years. Maybe changes at the cellular level led to pulpitis and second to pulp necrosis 46. The endodontic treatment was not carried out correctly, due to significant obliteration of the root canals 46. A revision of the area 46 was made, the tumor was removed (highly mineralized part similar to osteoma and granulation tissue from area around). We made a root resections of tooth 46 with retrograde filling of the root canals using MTA. We filled the bone defect with Bond Apatite (1 cc).

Histopathological study showed the presence of a odontogenic fibroma structure in granulation tissue and osteoma in mineralized part. We observed a good healing of bone and soft tissue in 2 years months follow-up.

Figure 6. Operation view
Figure 10. X-ray after surgery
Figure 13. Control X-ray after 6 months
Figure 14. Panoramic after 6 months
Figure 15. Cbct 6 months
Figure 16. Cbct 6 months
Figure 17. Cbct 6 months
Figure 18. Cbct 6 months
Figure 19. Cbct after 6 months
Figure 20. Panoramic after 2 years

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