TREATMENT OF CEMENTOOSSIFIING FIBROMA: CLINICAL APPROACHES AND CURRENT MANAGEMENT
Keywords:
Cemento-ossifying Fibroma, Odontogenic Tumors, Surgical Treatment, Recurrence, Juvenile Ossifying Fibroma, Oral and Maxillofacial SurgeryAbstract
Cemento-ossifying fibroma (CFO) is a benign fibro-osseous neoplasm of odontogenic origin, characterized by the replacement of normal bone by mineralized fibrous tissue. This narrative review analyzes current therapeutic approaches, highlighting the need to distinguish between conventional OCF and its juvenile variants (trabecular and psammomatoid), which present distinct clinical behavior. The results indicate that conservative treatment, via enucleation and curettage, is the predominant and effective choice for conventional OCF, with low recurrence rates. In contrast, juvenile variants demonstrate greater aggressiveness and high recurrence rates (40-63%) when treated conservatively, justifying more radical surgical approaches. For peripheral ossifying fibroma, excision should include deep curettage of the periodontal ligament. The study also addresses innovations such as dental autotransplantation and digital planning for rehabilitation, concluding that management must be strictly individualized based on the histological subtype and extent of the lesion.
