Juvenile Central Odontogenic Fibroma: An Unacquainted Clinical Entity.

Introduction: Central odontogenic fibroma (COF) manifests as a rare neoplasm of odontogenic ectomesenchyme. It establishes clinically as a progressively growing mass that eventually causes cortical expansion. On a radiograph, it appears as a single or multiple locular radiolucent lesion with occasional root resorption or displacement of adjacent teeth. Case report: We put forth a case report of a 15-year-old girl who presented with the complaint of a swelling in the lower jaw. Radiographically, a multilocular radiolucency was noticed in relation to the root of the left lower premolar teeth. Treatment: Surgical excision was performed under general anaesthesia. The lesion appeared to be firm on palpation with appreciable interface between the lesion and the bone. The lesion could be easily enucleated from the osseous com ponent. Outcome: Painless gingival enlargement could potentially be a clinical manifestation of an COF which usually resembles any other odontogenic cyst or tumor.