Case Report
Volume 20 Issue 9 - 2021
Piezoelectric Assisted Management of Mandibular Cemento-Ossifying Fibroma: A Case Report
Dhekra Jlassi1*, Nour Saida Ben Messaoud1,2, Ghada Bouslama1,2, Aya Mtiri1, Souha Ben Youssef1,2 and Abdellatif Boughzela1,2
1Oral Surgery Unit, Dental Medicine Department in University Hospital Farhat Hached, Sousse, Tunisia
2Research Laboratory: LR 12SP10: Functional and Aesthetic Rehabilitation of Maxillary, Tunisia
*Corresponding Author: Dhekra Jlassi, Oral Surgery Unit, Dental Medicine Department in University Hospital Farhat Hached, Sousse, Tunisia.
Received: March 15, 2021; Published: August 30, 2021


Cemento-ossifying fibroma is a rare odontogenic benign tumor with female predilection between the third and fourth decades of life. In 62 - 89% of cases, the mandible is affected with a marked percentage involving premolar-molar region. A definitive diagnosis is usually established based on the correlation between clinical, radiological, and histological findings. Surgical enucleation and curettage are always required. Piezo surgery may be considered effective in COF enucleation compared to conventionnel procedures, since it prevents tissue damage and grants less post-surgical pain and swelling.

The purpose of this paper was to present an alternative approach in the atraumatic management of cementoosseous mandibular fibroma using piezoelectric-assisted surgery.

Keywords: Cemento-Ossifying Fibroma; Piezoelectric-Assisted Surgery


  1. Trijolet JP., et al. “Cemento-ossifying fibroma of the mandible”. European Annals of Otorhinolaryngology, Head and Neck Diseases1 (2011): 30-33.
  2. Bala TK., et al. “Cemento-ossifying fibroma of the mandible. A clinicopathological report”. Saudi Medical Journal5 (2017): 541-545.
  3. SK El-Mofty. “Fibro-osseous lesions of the craniofacial skeleton: an update”. Head and Neck Pathology4 (2014): 432-444.
  4. Mahato B., et al. “Central cemento-ossifying fibroma: a case report”. MOJ Clinical and Medical Case Reports2 (2015): 214-216.
  5. Peravali RK., et al. “Maxillo-Mandibular Cemento-ossifying Fibroma: A Rare Case Report”. Journal of Oral and Maxillofacial Surgery1 (2015): 300-307.
  6. Mohapatra M., et al. “Cemento-ossifying fibroma of mandible: An unusual case report and review of literature”. Journal of Oral and Maxillofacial Pathology 19 (2015): 405.
  7. Mithra R., et al. “Imaging in the Diagnosis of Cemento-Ossifying Fibroma: A Case Series”. The Journal of Clinical Imaging Science 2 (2012): 52.
  8. Ilvestre-Rangil J., et al. “Cemento-ossifying fibroma of the mandible: Presentation of a case and review of the literature”. Journal of Clinical and Experimental Dentistry1 (2011): e66-69.
  9. Dewan HS., et al. “Cemento-ossifying fibroma of mandible mimicking complex composite odontoma”. BMJ Case Reports (2016): bcr2016216053.
  10. Y Sirin., et al. “Maxillary cementoossifying fibroma in a male patient with end-stage chronic renal disease”. International Journal of Clinical Dental Science3 (2011): 33-37.
  11. Hombal AG., et al. “Cemento-ossifying fibroma of mandible”. Australasian Radiology 51 (2007): B176-179.
  12. Yaga US., et al. “Central cemento-ossifying fibroma of posterior maxilla”. Journal of Indian Academy of Oral Medicine and Radiology 27 (2015): 282-285.
  13. Katti G., et al. BMJ Case Reports Published online.
  14. Naik RM., et al. “Giant cemento-ossifying fibroma of the mandible”. Journal of Natural Science, Biology and Medicine1 (2014): 190-194.
  15. Adel Bouguezzi., et al. “Piezoelectric-Assisted Removal of a Mandibular Cementoossifying Fibroma: An Innovative Technique". Case Reports in Dentistry (2020): 5.
  16. Pappalardo S and Guarnieri R. “Randomized clinical study comparing piezosurgery and conventional rotatory surgery in mandibular cyst enucleation”. Journal of Cranio-Maxillofacial Surgery5 (2014): e80-85.
  17. Schlee M., et al. “Piezosurgery: basics and possibilities”. Dental Implant4 (2006): 334-340.
  18. Wagner ME., et al. “Piezoelectric-assisted removal of a benign fibrous histiocytoma of the mandible: an innovative technique for prevention of dentoalveolar nerve injury”. Head and Face Medicine 7 (2011): 20.
  19. Pavlíková G., et al. “Piezosurgery in oral and maxillofacial surgery”. International Journal of Oral and Maxillofacial Surgery 5 (2011): 451-457.
  20. Pereira CC., et al. “Piezosurgery applied to implant dentistry: clinical and biological aspects”. The Journal of Oral Implantology 40 (2014): 401-408.
Citation: Dhekra Jlassi., et al. “Piezoelectric Assisted Management of Mandibular Cemento-Ossifying Fibroma: A Case Report”. EC Dental Science 20.9 (2021): 82-89.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

February Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the February issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before February 17, 2023.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.