Caso raro de fibroma ossificante juvenil proservado por 14 anos: do diagnóstico à reabilitação

Abstract

Introduction: Juvenile Ossifying Fibroma (JOF) is a benign fibro-osseous lesion which presents a local agressive variation and it more often affects children and teenagers. Extensive lesions require wide osseous resections as a mean of treatment, which might lead to facial deformity. Objective: This research aims at stating the resection treatment of an extensive jaw tumor of a case of juvenile ossifying fibroma associated with functional and aesthetic rehabilitatio with a follow-up of fourteen years. Case: 12-year-old male patient sought dental care complaining about an increasing mass in his mouth, dental sensitivity to hot and cold foods and mobility of his lower anterior teeth. A panoramic radiographic examination showed a multilocular, of mixed radiodensity and with sclerotic edges lesion, located in the mentual region. The treatment has been performed with resection surgery and reconstruction of the mutilated region by using autogenous graft, and also with keyhole surgery to place implants and further prosthetic rehabilitation. Conclusion: Early diagnosis is a main factor to avoid the lesion expansion and a consequent greater bone destruction. Therapeuthic decision aimed at eliminating the pathology. Taking into consideration the morbidity of the treatment procedures, osseous graft has been indicated as the most appropriate and predictable rehabilitation technique, which has been well established in the literature for the osseous reconstruction in patients submitted to resective therapies associated to rehabilitation with implants restoring, therefore, both aesthetics and function.