Central Odontogenic Fibroma: An Updated Systematic Review of Cases Reported In The Literature With Emphasis On Recurrence Influencing Factors

Publication date: Available online 7 August 2018

Source: Journal of Cranio-Maxillofacial Surgery

Author(s): Flavia Sirotheau Correa Pontes, Lucas Lacerda de Souza, Lorena Paula de Paula, Elieser de Melo Galvão Neto, Priscilla Flores Silva Gonçalves, Hélder Antônio Rebelo Pontes

Abstract

Purpose

To integrate the available data published on central odontogenic fibroma (COF) into a comprehensive analysis of its clinical/radiologic/histological features.

Methods

An electronic search was undertaken in September 2017. Eligibility criteria included publications reporting cases of COF having enough clinical, radiological and histological information to confirm the diagnosis. Demographic data, lesion site and size, treatment approach, and recurrence were analysed. The cases included in the analysis presented follow-up time. Concerning recurrence analysis, tumour location, cortical bone perforation, lesion locularity, radiopacities, lesions associated with a tooth, tooth displacement, histological type and treatment used were evaluated.

Results

Eighty-three publications reporting 173 COFs were included. Lesions were slightly more prevalent in men than women (M: F – 1.13: 1); mean age was 31.6 years, with the highest prevalence in the second decade of life. Lesions were more prevalent in the posterior mandible. The difference in recurrence rate (when information about recurrence was provided) presented a statistically significant result for COF for location, cortical bone perforation and locularity of the lesion.

Conclusions

Our paper highlights that patients with COF who present a lesion located in the maxilla with multilocular aspects and cortical bone perforation tend to show a higher recurrence rate.

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