Juvenile Maxillary Ossifying Fibroma: A Rare Case in a 12-Year-Old Girl

Abstract

Ossifying fibroma (OF) is a benign fibro-osseous neoplasm characterized by the replacement of normal bone with a fibro-cellular stroma containing variable mineralized material such as bone and cementum. It most commonly affects the mandibular premolar–molar region, with maxillary involvement being relatively uncommon. This report describes a rare case of ossifying fibroma in a 12-year-old girl presenting with a painless swelling on the right side of the face for four months. Radiographic evaluation showed a well-defined radiolucent lesion with a sclerotic border and displacement of adjacent tooth roots. Surgical enucleation and curettage were performed under local anesthesia. Histopathological examination demonstrated a fibrocellular stroma with irregular trabeculae of lamellar bone and cementum-like calcifications, confirming the diagnosis of ossifying fibroma. Surgical enucleation and curettage were performed under local anaesthesia. Postoperative healing was uneventful, and no recurrence was observed during six months of follow-up. Overall, this case emphasizes the value of integrating clinical, radiographic, and histopathological assessment for definitive diagnosis and successful management of ossifying fibroma.