Juvenile aggressive psammomatoid ossifying fibroma: an interesting, challenging, and unusual case report and review of the literature.

A Caucasian 12-year-old girl was referred to the Oral and axillofacial Department of University College London Hosital with a slowly enlarging right-sided mandibular swellng of 2 years’ duration, with a previous diagnosis of aggresive trabecular variant of ossifying fibroma. Two previous ttempts at excision had failed. Extraorally there was rightided facial swelling. There was anesthesia along the whole istribution of the right inferior alveolar nerve. On intraoral xamination, there were no teeth in the right mandibular uadrant. The mandibular swelling was not tender on palation, bony-hard in consistency, covered by normal muosa and extended from the ramus to the mental region, and ad caused expansion of the lingual and buccal plates of the ight mandible. No other bones were involved and no other bnormalities were found in a general physical examinaion. The medical history was noncontributory. There was o family history of skeletal disease.