Central Odontogenic Fibroma of the Gingiva: A Case Report

Ahmad Soolari*, Asghar Khan
University of Maryland Dental School, Baltimore, MD, USA

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© Soolari and Khan; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the University of Maryland Dental School, Baltimore, MD, USA; Tel: 301 299 6664; Fax: 240 845 1087; E-mail:


In this paper, we present a case of an uncommon and slow-growing tumor known as a central odontogenic fibroma (COF). The patient in question is a 53-year-old African-American man who was referred for periodontal evaluation of asymptomatic space formation between the mandibular central incisors. Clinical and radiological evaluations disclosed tumor-like tissue expanding the alveolar ridge in the buccolingual dimension, along with thinning of the cortical plates. Surgical excision was performed, and the specimen was sent for histopathology, which later confirmed that the lesion was a COF. Periodontal regenerative therapy was performed to rebuild the hard and soft tissue that had been compromised as a result of tumor expansion. The site was grafted, with excellent results.

Keywords: Benign lesions, central odontogenic fibroma, histopathology, periodontal pathology.