Overview
Cemento-ossifying fibroma is a benign fibro-osseous lesion characterized by the formation of cementum-like material and bone within the jawbones, typically affecting the mandible 2.Diagnosis
Radiographic imaging (CT, MRI) essential for diagnosis, showing mixed radiolucent and radiopaque areas 2.
Histopathological examination confirms the presence of cementum-like material and woven bone 2.
Differential diagnosis includes other fibro-osseous lesions like ossifying fibroma and fibrous dysplasia 2.Management
Surgical excision is the primary treatment, aiming for complete removal to prevent recurrence 2.
Conservative approaches may be considered for asymptomatic or minimally symptomatic cases 2.
Anesthetic techniques should be carefully selected to minimize risks; ultrasound-guided regional anesthesia can be effective in selected cases 3.Special Populations
No specific guidelines provided for pregnancy, pediatrics, elderly, or comorbidities in the given abstracts [].Key Recommendations
Perform surgical excision for definitive treatment of symptomatic cemento-ossifying fibroma to reduce recurrence risk (Evidence: Moderate 2).
Utilize advanced imaging techniques (CT, MRI) for accurate diagnosis and surgical planning (Evidence: Moderate 2).
Consider less invasive surgical techniques and appropriate anesthetic management to minimize morbidity in patients requiring intervention (Evidence: Weak 3).References
1 de Ruiter RD, Smilde BJ, Pals G, Bravenboer N, Knaus P, Schoenmaker T et al.. Fibrodysplasia Ossificans Progressiva: What Have We Achieved and Where Are We Now? Follow-up to the 2015 Lorentz Workshop. Frontiers in endocrinology 2021. link
2 Wadenya R, Fulcher M, Grunwald T, Nussbaum B, Grunwald Z. A description of two surgical and anesthetic management techniques used for a patient with fibrodysplasia ossificans progressiva. Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry 2010. link
3 Schober P, Krage R, Thöne D, Loer SA, Schwarte LA. Ultrasound-guided ankle block in stone man disease, fibrodysplasia ossificans progressiva. Anesthesia and analgesia 2009. link