Dislocation of an upper third molar by an ossifying fibroma--case report

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Arnim GodtStefan Martin Kröber

Abstract

The occurrence of ossifying fibromas (OFs) in childhood and adolescence has been described in the literature, along with different courses of the disease due to different growth rates. In the case of the 15-year-old female patient presented here, an OF resulted in displacement of a maxillary third molar far into the maxillary sinus. It is assumed that the tumour originated coronal to the affected tooth 18. Radiographs document an initial rapid growth of this tumour over a period of 2 years, while its growth almost completely ceased in the next 2 years immediately prior to diagnosis and surgical treatment. The operation was complicated by unexpected profuse bleeding from the tumour tissue. The peculiarity of the OF in the case presented here is its similarity, in terms of clinical and radiological appearances, with a follicular cyst, its unusual place of origin that resulted in the migration of the tooth 18 into the maxillary sinus, its different growth dynamics, and the pronounced haemorrhage encountered as the tumour was surgically removed.

References

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Aug 1, 1993·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·C A Waldron
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Apr 29, 2004·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Martin ScheerA C Alexander C Kübler

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Citations

Feb 26, 2013·Oral and Maxillofacial Surgery·Leonardo Morais Godoy FigueiredoViviane Almeida Sarmento
Aug 1, 2015·Journal of Maxillofacial and Oral Surgery·Sujata MohantyUjjwal Gulati
Dec 20, 2011·Ear, Nose, & Throat Journal·Ozan Bagis OzgursoyBabur Kucuk

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