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Odontogenic tumors

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Many radiolucent or mixed radiolucent/radiopaque lesions of the mandible & maxilla may present as incidental findings on radiographs or as the main symptom of a patient. Complete history & physical ...

Many radiolucent or mixed radiolucent/radiopaque lesions of the mandible & maxilla may present as incidental findings on radiographs or as the main symptom of a patient. Complete history & physical examination with appropriate radiographic examination & pathologic confirmation completes the management of these diseases.

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  • The clinical differential diagnosis of a peripheral odontogenic fibroma includes inflammatory gingival hyperplasia, peripheral cemento-ossifying fibroma, and peripheral giant cell granulomaMicroscopically, the tumor consists of an unencapsulated mass of interwoven cellular fibrous connective tissue that contains scattered nests or strands of odontogenic epithelium. Myxoid foci, osteoid, cementoid, or dystrophic calcifications are sometimes seen. The surface generally is not ulcerated.Treatment consists of conservative excision performed with care to maintain or reestablish the gingival architecture and periodontal integrity. Recurrence is rare

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