Central odontogenic fibroma: a case report.
The aim of this case report was to analyze clinical and histological features of a central odontogenic fibroma followed up for 6 years after surgical excision.



A 26-year old Caucasian female was referred, reporting a painless gingival swelling in the buccal area of the maxillary right canine. There were no other symptoms and no recent history of pain. Her medical history was non-contributory. Radiographic evaluation showed the presence of a radiolucent area with well-defined margins. The lesion was surgically removed and histologically analysed.



Histologic analysis showed a cellular fibroblastic tissue characterized by interwoven bundles of collagen densely packed and absence of odontogenic epithelium. The surgical site was monitored for 6 years after surgery with no signs of recurrence.



The central odontogenic fibroma here reported displayed a prominent quantity of collagen and absence of odontogenic epithelium. The surgically removed lesion had a favourable prognosis and no recurrence for the 6 year follow-up period.
Covani
Ugo
U
School of Dental Medicine and Nanoworld Institute, University of Genova, Italy.
Crespi
Roberto
R
Perrini
Nicola
N
Barone
Antonio
A
D000328:Adult; D005260:Female; D005350:Fibroma / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D009808:Odontogenic Tumors / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography