Abstract
This case concerns a 39-year-old female patient presenting with an asymptomatic radiolucency and spiking root resorption in the right posterior mandible (tooth #30). The patient delayed treatment for three years due to the COVID-19 pandemic and fear of surgery. Upon return, the lesion had greatly expanded in size (approximately 22-by-17 mm), with increased root resorption. Surgery involved extraction of the tooth and thorough curettage of the lesion. Microscopic examination showed cellular tumor composed of plump spindle cells and interspersed psammoma body calcifications. The final diagnosis was aggressive ossifying fibroma, psammomatoid variant. Treatment typically involves complete local excision and curettage for small lesions, with recurrence rates noted between 30–58%.
Recommended Citation
Kacher, John E. DDS
(2025)
"Oral and Maxillofacial Pathology Case of the Month,"
The Journal of the Michigan Dental Association: Vol. 107:
No.
10, Article 10.
Available at:
https://commons.ada.org/journalmichigandentalassociation/vol107/iss10/10
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