Pediatric Enigma: A Case Report of Ossifying Fibroma

Benign fibro-osseous lesions are uncommon in the head and neck region and can include various tumors with similar characteristics.These tumors encompass fibrous dysplasia (FD), ossifying fibroma (OF), and cementoosseous dysplasia (COD) [1].Ossifying fibroma can be categorized into conventional and juvenile forms (JOF).According to the World Health Organization (WHO) classification of odontogenic tumors 2005, JOF is further divided into juvenile psammomatoid ossifying fibroma (JPOF) and juvenile trabecular ossifying fibroma (JTOF).The psammamatous type usually affects the bones of the orbit and paranasal sinuses, while the trabecular type commonly impacts the jaws [2].The preferred treatment is complete surgical removal.JOF has a notable recurrence rate after treatment.The specific age of occurrence in younger individuals, location, histological variability, and potential for aggressive behavior contribute to the unique nature of juvenile ossifying fibroma.A 6-year-old male patient visited the Oral Medicine and Radiology department of a dental college in Karnataka with a chief complaint of swelling on the right side of the face persisting for three months.The patient's parents reported a history of a fall four months prior, for which they did not seek medical assistance.Around one month after the fall, they noticed a small swelling on the right side of the patient's face, which gradually increased to the current size.There was no history of pain or paresthesia in that region.The patient's medical, dental, and family histories were unremarkable.The patient was poorly built and moderately nourished.All of the vital signs of the patient were normal.