Central odontogenic fibroma with osteoid formation showing atypical radiographic appearance

Dentomaxillofac Radiol. 2009 Sep;38(6):426-30. doi: 10.1259/dmfr/28183053.

Abstract

We recently encountered an interesting tumour, containing both a diffuse sclerotic border and calcified bodies, which was eventually diagnosed as a central odontogenic fibroma. The patient was a 40-year-old man with a painless radiolucent area in the crown area of the unerupted left lower third molar shown by panoramic radiography. Clinically, the lesion was thought to represent an odontogenic tumour involving a calcified body, i.e. calcifying cystic odontogenic tumour, calcifying epithelial odontogenic tumour or ossifying fibroma. Diagnosis by radiographic findings was extremely difficult.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Calcinosis / diagnostic imaging
  • Diagnosis, Differential
  • Fibroma / complications
  • Fibroma / diagnostic imaging*
  • Fibroma / pathology
  • Humans
  • Male
  • Mandibular Neoplasms / complications
  • Mandibular Neoplasms / diagnostic imaging*
  • Mandibular Neoplasms / pathology
  • Molar, Third / diagnostic imaging
  • Odontogenic Tumors / complications
  • Odontogenic Tumors / diagnostic imaging*
  • Odontogenic Tumors / pathology
  • Tomography, X-Ray Computed
  • Tooth, Impacted / complications
  • Tooth, Impacted / diagnostic imaging