Soolari Ahmad, Khan Asghar
University of Maryland Dental School, Baltimore, MD, USA.
Open Dent J. 2015 Jan 6;8:280-8. doi: 10.2174/1874210601408010280. eCollection 2014.
In this paper, we present a case of an uncommon and slow-growing tumor known as a central odontogenic fibroma (COF). The patient in question is a 53-year-old African-American man who was referred for periodontal evaluation of asymptomatic space formation between the mandibular central incisors. Clinical and radiological evaluations disclosed tumor-like tissue expanding the alveolar ridge in the buccolingual dimension, along with thinning of the cortical plates. Surgical excision was performed, and the specimen was sent for histopathology, which later confirmed that the lesion was a COF. Periodontal regenerative therapy was performed to rebuild the hard and soft tissue that had been compromised as a result of tumor expansion. The site was grafted, with excellent results.
在本文中，我们报告了一例罕见的、生长缓慢的肿瘤，称为中央型牙源性纤维瘤（COF）。该患者是一名53岁的非裔美国男性，因下颌中切牙之间无症状间隙形成而被转诊进行牙周评估。临床和影像学评估发现肿瘤样组织在颊舌向扩展牙槽嵴，同时皮质骨板变薄。进行了手术切除，并将标本送去做组织病理学检查，后来证实该病变为COF。进行了牙周再生治疗，以重建因肿瘤扩展而受损的软硬组织。对该部位进行了植骨，效果良好。
