case_images: PMC10889483_01
case_images: Axial CT showing the right mandibular mass measures 6.7 x 9.1 x 7.6 cm.
case_images: cureus-0016-00000052863-i01.jpg
case_images: PMC10889483_01_cureus-0016-00000052863-i01.jpg
case_images: FIG1
case_images: A maxillofacial CT was performed, which demonstrated a 6.7 x 9.1 x 7.6 cm complex cystic right mandibular body mass (Figure 1).
case_images: A. Depicts a sagittal CT and B. shows a sagittal reconstruction both demonstrating how the mass contains an internal ground glass calcified matrix. The posterior bony margin of the lesion extends to the anterior margin of the right mandibular ramus.
case_images: cureus-0016-00000052863-i02.jpg
case_images: PMC10889483_01_cureus-0016-00000052863-i02.jpg
case_images: FIG2
case_images: The posterior bony margin of the lesion extended to the anterior margin of the right mandibular ramus, while medially, the mass mildly encroached on the oral cavity (Figure 2).
case_images: A. Depicts a coronal CT and B. shows a coronal reconstruction. Both images display thinning of the outer cortex of bone along the anterolateral margins of the mass with relative preservation of the cortex along its posterior margin.
case_images: cureus-0016-00000052863-i03.jpg
case_images: PMC10889483_01_cureus-0016-00000052863-i03.jpg
case_images: FIG3
case_images: Due to the mass effect, the remaining central teeth were mildly rotated leftward (Figure 3).
case_images: High-power photomicrograph showing a mixture of woven bone and cementum like material in a moderately cellular fibrous connective stroma (Hematoxylin & Eosin stain, 20X).
case_images: cureus-0016-00000052863-i04.jpg
case_images: PMC10889483_01_cureus-0016-00000052863-i04.jpg
case_images: FIG4
case_images: Upon biopsy of the lesion, the specimen consisted of non-decalcified irregular fragments of cemento-osseous material, embedded in a minimally hemorrhagic, cellular fibrous tissue stroma, suggestive of a central ossifying fibroma (Figures 4, 5).
case_images: This low-magnification photomicrograph trabeculae of bone and cementum-like material in a background of cellular fibrous connective tissue(Hematoxylin & Eosin stain, 4X).
case_images: cureus-0016-00000052863-i05.jpg
case_images: PMC10889483_01_cureus-0016-00000052863-i05.jpg
case_images: FIG5
case_images: Upon biopsy of the lesion, the specimen consisted of non-decalcified irregular fragments of cemento-osseous material, embedded in a minimally hemorrhagic, cellular fibrous tissue stroma, suggestive of a central ossifying fibroma (Figures 4, 5).