Ambiguity in diagnosis: A case report of central odontogenic fibroma

Central odontogenic fibroma is a mesenchymal odontogenic tumor comprising less than 5% of all the odontogenic tumors. This tumor tends to occur in a wide age range with no gender predilection. Several attempts have been carried out by various authors to simplify and classify this benign tumor. The rarity and lack of specific clinic and histologic criteria have rendered the diagnosis of this tumor challenging. Also, the clinical and radiographic features mimics several other odontogenic and non-odontogenic entities. However, a biopsy is mandatory to diagnose this type of odontogenic tumors. We describe a case of central odontogenic fibroma occurring in the posterior mandible of a 13 year old male patient.