Mandibulada Santral Odontojenik Fibroma: Klinik Özellikler, Tanı ve Cerrahi Yaklaşım

Yıl 2025, Cilt: 35 Sayı: 3, 248 - 250, 24.07.2025

Rabia Tül Adeviye Çankaya , Mehtap Muğlalı , Seda Gün

https://doi.org/10.17567/currresdentsci.1426481

Öz

Bu olgu sunumunda, oldukça nadir bir tümör olan santral odontojenik fibromanın özellikleri, teşhis ve tedavi yaklaşımları anlatıldı.
Sistemik olarak sağlıklı 29 yaşında kadın hasta, rutin kontrolleri için kliniğimize başvurdu. İntraoral muayenesinde sağ mandibular premolar bölgenin lingual diş etinde çöküntü saptandı. Radyografik incelemede sağ mandibular kanin-premolar bölgede belirgin kortikal sınırları olan miks bir lezyon gözlendi. Ayırıcı tanıda botyroid odontojenik kist düşünüldü. Lezyon bölgesine yapılan ponksiyon biyopsisi negatifti. Bu bulgu ile lezyonun solid bir kitle olacağı düşünülüp insizyonel biyopsi yapıldı. Histopatolojik incelemede, lezyona santral odontojenik fibroma tanısı konuldu. Kitle lokal anestezi altında eksize edildi. 18 aylık takipte nüks gözlenmedi.

Anahtar Kelimeler

santral odontojenik fibroma , ektomesenkimal , odontojenik tümör

Central Odontogenic Fibroma in Mandible: Clinical Features, Diagnosis, and Surgical Approach

Öz

In this case report, the characteristics, diagnosis, and treatment approaches of central odontogenic fibroma, a very rare tumor, are described.
A systemically healthy 29-year-old female patient was admitted to our clinic for routine checkups. Intraoral examination revealed a depression in the lingual gingiva of the right mandibular premolar region. Radiographic examination revealed a mixed, multilocular lesion in the right mandibular canine-premolar region with prominent cortical borders. Botryoid odontogenic cyst was considered in the differential diagnosis. A puncture biopsy of the lesion area was negative. With this finding, the lesion was thought to be a solid mass, and incisional biopsy was performed. On histopathologic examination, the lesion was diagnosed as central odontogenic fibroma. The lesion was excised under local anesthesia. After 18 months of follow-up, no recurrence was observed.

Anahtar Kelimeler

central odontogenic fibroma , ectomesenchyme , odontogenic tumor

Kaynakça

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