Central Ossifying Fibroma of Maxilla- A Case Report

Abstract

Central ossifying fibroma (COF) is a rare, benign fibro-osseous lesion that typically affects the mandible, but maxillary involvement, though uncommon, can pose diagnostic challenges. This case report presents a 35-year-old female patient with a painless swelling in the right upper jaw that has been present for six months and is gradually increasing in size. The swelling became mildly painful over the past four months due to denture-induced pressure. Extraoral examination revealed a solitary, diffuse, bony hard, non-tender swelling on the right midface, measuring approximately 3 × 3 cm, with normal overlying skin. Intraoral examination showed a similar swelling in the 14–16 region with erythematous mucosa and a nonscrapable hyperkeratotic area at its center. Radiographic and histopathological evaluation confirmed the diagnosis of central ossifying fibroma of the maxilla. Surgical excision was planned based on the characteristics of the lesion. This case emphasizes the importance of a thorough clinical examination and consideration of fibro-osseous lesions in the differential diagnosis of intraoral and extraoral swellings, particularly in edentulous patients. Early detection and proper management are crucial for preventing complications and ensuring favorable outcomes.