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  • Title: Central odontogenic fibroma: An updated systematic review of cases reported in the literature with emphasis on recurrence influencing factors.
    Author: Correa Pontes FS, Lacerda de Souza L, Paula de Paula L, de Melo Galvão Neto E, Silva Gonçalves PF, Rebelo Pontes HA.
    Journal: J Craniomaxillofac Surg; 2018 Oct; 46(10):1753-1757. PubMed ID: 30143268.
    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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