Juvenile ossifying fibroma of the jaw.

Juvenile ossifying fibroma is a benign lesion with aggressive local growth. It is similar to an ossifying fibroma, although it is more aggressive and of earlier onset. Some cases of ossifying fibroma are part of a syndrome that includes hyperparathyroidism (caused by adenoma or carcinoma) and renal lesions, possibly caused by a recently discovered genetic mutation. These tumours must be treated by radical excision, to prevent recurrence. We report a case of recurrent juvenile ossifying fibroma, in an 18-year-old girl. The treatment was radical en-bloc resection, which was reconstructed at the same operation with an iliac crest bone graft. After one year, there has been satisfactory integration of the graft and the teeth have been implanted.