Abstract

GONZALEZ MAGANA, Fernando et al. Adjuvance in surgical treatment of ossifying fibroma. Case report. Cir. plást. iberolatinoam. [online]. 2019, vol.45, n.3, pp.323-326.  Epub Dec 16, 2019. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922019000300323.

Ossifying fibroma is a benign osteogenic neoplasm, representing 3.1% of oral tumors and 9.6% of gingival lesions.

Enucleation by curettage is the treatment of choice, completed to healthy bone margins, with a recurrence of approximately 7-20%, probably due to incomplete removal, continued irritation or repeated damage.

We describe a clinical case ttreated in combination with adjuvant methods to decrease recurrence and accelerate bone regeneration, with the placement of liquid nitrogen and cadaveric lyophilized bone, combined with platelet-rich plasma. Post-operative control at 6 months showed no clinical or radiological evidence of recurrence and the presence of accelerated bone regeneration.

We suggest liquid nitrogen as an adjuvant for the prevention of recurrence and bone regeneration guided with lyophilized bone in conjunction with platelet-rich plasma as a feasible option to accelerate the bone healing process.

Keywords : Ossifying fibroma; Oral tumors; Gingival tumors.

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