Central Odontogenic Fibroma in the Mandible: Clinical Features, Diagnosis, and Surgical Approach

Abstract

This case report describes the characteristics, diagnosis, and treatment approaches of central odontogenic fibroma, a rare tumor. A systemically healthy 29-year-old female patient was admitted to our clinic for routine checkups. Intraoral examination revealed a depression in the lingual gingiva of the right mandibular premolar region. Radiographic examination revealed a mixed, multilocular lesion in the right mandibular canine-premolar region with prominent cortical borders. A botryoid odontogenic cyst was considered in the differential diagnosis. A puncture biopsy of the lesion area was negative. With this finding, the lesion was considered a solid mass, and an incisional biopsy was performed. The results of the histopathologic examination of the lesion were central odontogenic fibroma. The lesion was excised under local anesthesia. After 18 months of follow-up, no recurrence was observed. © 2025, Ataturk Universitesi. All rights reserved.