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A swelling of the maxilla: a case report and differential diagnosis.

Bhargava P, Khan S, Sharma R, Agwani K, Gupta S - J Korean Assoc Oral Maxillofac Surg (2014)

Bottom Line: Although ossifying fibromas have principally been found in the jaw, they have also been reported in the frontal, ethmoid, sphenoid, and temporal bones, as well as the orbit and anterior cranial fossa.Ossifying fibromas affecting the jaw exhibit variable behaviors ranging from slow growth to occasionally aggressive local destruction.In the present article, we discuss a differential diagnosis considered for maxillary swellings and report a rare case of ossifying fibroma occurring in the maxilla.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, NIMS Dental College and Hospital, NIMS University, Jaipur, India.

ABSTRACT
Ossifying fibromas are benign fibro-osseous tumors of mesenchymal origin. Although ossifying fibromas have principally been found in the jaw, they have also been reported in the frontal, ethmoid, sphenoid, and temporal bones, as well as the orbit and anterior cranial fossa. Ossifying fibromas affecting the jaw exhibit variable behaviors ranging from slow growth to occasionally aggressive local destruction. In the present article, we discuss a differential diagnosis considered for maxillary swellings and report a rare case of ossifying fibroma occurring in the maxilla.

No MeSH data available.


Related in: MedlinePlus

Buccopalatal extent of the lesion.
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Figure 2: Buccopalatal extent of the lesion.

Mentions: A 55-year-old female patient visited the dental out patient department with the chief complaint of a swelling in the upper left back teeth region over the past year. The swelling was non tender and initially small but had gradually enlarged to the present size. She had no history of associated pain, discharge, fever or fluctuation in the size, or similar swellings elsewhere in the body. The patient's medical and habit history was non-contributory. All vital signs were within normal limits. Intra-oral examination revealed a large, solitary, well-defined, nodular exophytic growth in the region of the attached gingiva; it was 2.2 cm in maximum dimension and extended posteriorly distal of tooth 27 involving the tuberosity region. Superioinferiorly it extended from the buccal vestibule extending inferiorly covering the middle 1/3 of crown 27. The color was the same as that of the normal attached gingiva without normal stippling, and the surface was regular and smooth. Palpatory findings revealed non-tender, non-pulsatile swelling of bony hard consistency and fluctuancy and compressibility were absent.(Figs. 1, 2) The overlying and surrounding mucosa were normal. On probing distal of 27, the suspected root stump of 28 was felt. Hard tissue examination revealed missing 46, root stump with 36, and generalized attrition with multiple wear facets.


A swelling of the maxilla: a case report and differential diagnosis.

Bhargava P, Khan S, Sharma R, Agwani K, Gupta S - J Korean Assoc Oral Maxillofac Surg (2014)

Buccopalatal extent of the lesion.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279968&req=5

Figure 2: Buccopalatal extent of the lesion.
Mentions: A 55-year-old female patient visited the dental out patient department with the chief complaint of a swelling in the upper left back teeth region over the past year. The swelling was non tender and initially small but had gradually enlarged to the present size. She had no history of associated pain, discharge, fever or fluctuation in the size, or similar swellings elsewhere in the body. The patient's medical and habit history was non-contributory. All vital signs were within normal limits. Intra-oral examination revealed a large, solitary, well-defined, nodular exophytic growth in the region of the attached gingiva; it was 2.2 cm in maximum dimension and extended posteriorly distal of tooth 27 involving the tuberosity region. Superioinferiorly it extended from the buccal vestibule extending inferiorly covering the middle 1/3 of crown 27. The color was the same as that of the normal attached gingiva without normal stippling, and the surface was regular and smooth. Palpatory findings revealed non-tender, non-pulsatile swelling of bony hard consistency and fluctuancy and compressibility were absent.(Figs. 1, 2) The overlying and surrounding mucosa were normal. On probing distal of 27, the suspected root stump of 28 was felt. Hard tissue examination revealed missing 46, root stump with 36, and generalized attrition with multiple wear facets.

Bottom Line: Although ossifying fibromas have principally been found in the jaw, they have also been reported in the frontal, ethmoid, sphenoid, and temporal bones, as well as the orbit and anterior cranial fossa.Ossifying fibromas affecting the jaw exhibit variable behaviors ranging from slow growth to occasionally aggressive local destruction.In the present article, we discuss a differential diagnosis considered for maxillary swellings and report a rare case of ossifying fibroma occurring in the maxilla.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, NIMS Dental College and Hospital, NIMS University, Jaipur, India.

ABSTRACT
Ossifying fibromas are benign fibro-osseous tumors of mesenchymal origin. Although ossifying fibromas have principally been found in the jaw, they have also been reported in the frontal, ethmoid, sphenoid, and temporal bones, as well as the orbit and anterior cranial fossa. Ossifying fibromas affecting the jaw exhibit variable behaviors ranging from slow growth to occasionally aggressive local destruction. In the present article, we discuss a differential diagnosis considered for maxillary swellings and report a rare case of ossifying fibroma occurring in the maxilla.

No MeSH data available.


Related in: MedlinePlus