“Maxillary juvenile ossifying fibroma: A case study of severe tooth displacement and orbital involvement in a pediatric patient”

Abstract

The aggressive growth and high recurrence rate of juvenile ossifying fibroma pose significant challenges in diagnosis and treatment. The lesion can expand substantially, involving the orbit and causing tooth displacement, leading to complications. We present the case of a 9-year-old boy with a 1-year history of progressively enlarging, painless swelling of the left cheek, accompanied by significant molar tooth displacement and a hyperglobus sign in the left eye. Histopathological examination ultimately confirmed the diagnosis of trabecular juvenile ossifying fibroma. This case highlights the importance of considering maxillary ossifying fibroma in the differential diagnosis of orbital and periorbital masses. In such cases, in addition to assessing orbital involvement, the location and alignment of teeth should be carefully evaluated, as severe dental displacement, like in the present case, can occur.