Cementifying Fibroma of Maxilla ? A Case Report

Cementifying Fibroma is a benign fibro-osseous lesion of the jaw bones. It arises from the mesenchymal cells of the periodontal ligament. It is a common occurrence in the mandible, and quite rare in the maxilla. It is usually a slow growing, well-circumscribed mass encountered in the middle-aged adult (with female sex predilection). The most closely related differential diagnosis for this condition is fibrous dysplasia (apart from the other histo-pathological variants of this condition such as Ossifying Fibroma, Cemento-Ossifying Fibroma). The two conditions differ in their radiological presentations, approach to their management and natural history of the disease (with and without treatment). The clinical, radiological and histo-pathological features of a patient with Cementying Fibroma of the Right Maxilla who presented herself in our Out-Patient Department has been described along with a detailed account of the treatment plan adopted for her. An elaborate discussion follows, based on review of literature.