Cemento-ossifying fibroma in an 8-year-old patient: a case report

Authors

  • Karen Lilian Morales Martínez Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado. Ciudad de México. https://orcid.org/0009-0009-0556-903X
  • Yonatan Josué Torres Cruz Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado. Ciudad de México.
  • José Agustin Reyes Campos Instituto Mexicano del Seguro Social de León. Guanajuato, México.

DOI:

https://doi.org/10.20453/reh.v35i3.5824

Keywords:

cementoma, cement-ossifying fibroma, mandible, case report

Abstract

Cemento-ossifying fibroma is a true neoplasm that belongs to the group of benign fibro-osseous lesions. It is characterized by the replacement of bone tissue with fibrous connective tissue that undergoes mineralization, and its diagnosis can be challenging due to its similarity to other lesions. Its origin has been theorized to be odontogenic or from the periodontal ligament, as it can produce cementum-like material within the bone trabeculae. We present the case of an 8-year-old female patient diagnosed with a cemento-ossifying fibroma in the mandible, measuring 50 × 32 mm, who underwent lesion excision along with the dental organs, without recurrence during follow-up. This neoplasm is relatively rare in patients in the third and fourth decades of life and even less common in pediatric patients; therefore, its diagnosis must be carried out comprehensively.

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Author Biographies

Karen Lilian Morales Martínez, Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado. Ciudad de México.

    

Yonatan Josué Torres Cruz, Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado. Ciudad de México.

       

José Agustin Reyes Campos, Instituto Mexicano del Seguro Social de León. Guanajuato, México.

      

References

WHO Classification of Tumours Editorial Board. Head and Neck Tumours. 5.a ed. Lyon: International Agency for Research on Cancer; 2024.

Neville BW, Damm DD, Allen CM, Chi AC. Oral and Maxilofacial Pathology. 5th ed. Missouri: Elsevier; 2024.

Contreras-Aedo L, Hidalgo-Rivas A, Venegas-Rojas B, Celis-Contreras C. Clínica, epidemiología e imagenología del fibroma osificante y fibroma cemento osificante: revisión de casos reportados en la literatura. Av Odontoestomatol [Internet]. 2022; 38(3): 122-135. Disponible en: https://dx.doi.org/10.4321/s0213-12852022000300006

Desai RS, Bansal S, Shirsat PM, Prasad P, Sattar S. Cemento-ossifying fibroma and juvenile ossifying fibroma: clarity in terminology. Oral Oncol [Internet]. 2021; 113: 105050. Disponible en: https://doi.org/10.1016/j.oraloncology.2020.105050

Aravindan V, Kumar SP, Murugan S, Krishnan M, Sneha A. A rare case of cemento-ossifying fibroma: a case report. Cureus [Internet]. 2023; 15(5): e38685. Disponible en: https://doi.org/10.7759/cureus.38685

Kaur T, Dhawan A, Bhullar RS, Gupta S. Cemento-ossifying fibroma in maxillofacial region: a series of 16 cases. J Maxillofac Oral Surg [Internet]. 2021; 20(2): 240-245. https://doi.org/10.1007/s12663-019-01304-y

Guddadararangiah S, Shetty SR, Al-Bayatti S, Narasimhan S. Large cemento-ossifying fibroma of the mandible involving the infratemporal and parapharyngeal spaces. Heliyon [Internet]. 2021; 7(7): e07594. Disponible en: https://doi.org/10.1016/j.heliyon.2021.e07594

Qiu JY, Huang KM, Lin NC. Use of the cover-lifting technique in mandibular cemento-ossifying fibroma excision to preserve the inferior alveolar nerve. Medicina. 2021; 57(12): 1383. Disponible en: https://doi.org/10.3390/medicina57121383

Van Snick E, Valgaeren B, Hendrickx J. A rare case of cemento-ossifying fibroma of the maxilla. J Belg Soc Radiol [Internet]. 2022; 106(1): 77. Disponible en: https://doi.org/10.5334/jbsr.2863

Apandi NI, Basri NN, Jalil AA, Jelon MA. Multiple cemento-ossifying fibroma: a sign of hyperparathyroidism-jaw tumour syndrome. Case Rep Dent [Internet]. 2023; 2023(1): 4664619. Disponible en: https://doi.org/10.1155/2023/4664619

Zhang W, Zhang S, Li H, Zhou YL. A case report of cystic cemento-ossifying fibroma. Asian J Surg [Internet]. 2025; 48(4): 2765-2766. Disponible en: https://doi.org/10.1016/j.asjsur.2024.10.214

Salema H, Nair VS, Sane V, Bhosale N, Rucha D. Cemento-ossifying fibroma of the mandible: a case report. Cureus [Internet]. 2024; 16(2): e55063. Disponible en: https://doi.org/10.7759/cureus.55063

Bouhoute M, Taleb B. Cystic degeneration in cemento-ossifying fibroma: diagnosis challenge and conservative management - Case report. Int J Surg Case Rep [Internet]. 2022; 90: 106676. Disponible en: https://doi.org/10.1016/j.ijscr.2021.106676

Qureshi MB, Tariq MU, Abdul-Ghafar J, Raza M, Din NU. Concomitant bilateral mandibular cemento-ossifying fibroma and cementoblastoma: case report of an extremely rare occurrence. BMC Oral Health [Internet]. 2021; 21: 437. Disponible en: https://doi.org/10.1186/s12903-021-01794-8

Baumhoer D, Haefliger S, Ameline B, Hartmann W, Amary F, Cleven A, et al. Ossifying fibroma of non-odontogenic origin: a fibro-osseous lesion in the craniofacial skeleton to be (re-)considered. Head Neck Pathol [Internet]. 2022; 16: 257-267. Disponible en: https://doi.org/10.1007/s12105-021-01351-3

Shirafkan S, Gholamian M, Rohani A, Mahmoudinezhad SS, Razavi M, Moradi K. Complete spontaneous bone regeneration following surgical enucleation of a mandibular cemento-ossifying fibroma. Case Rep Dent [Internet]. 2022; 2022(1): 7902602. Disponible en: https://doi.org/10.1155/2022/7902602

Published

2025-09-30

How to Cite

1.
Morales Martínez KL, Torres Cruz YJ, Reyes Campos JA. Cemento-ossifying fibroma in an 8-year-old patient: a case report . Rev Estomatol Herediana [Internet]. 2025 Sep. 30 [cited 2025 Oct. 3];35(3):269-76. Available from: http://44.198.254.164/index.php/REH/article/view/5824

Issue

Section

CASE REPORTS