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Central odontogenic fibroma is an uncommon, slow-growing, asymptomatic lesion. It is characterized by its non-aggressive nature. It is thought to be derived from the periodontal ligament, the dental papilla or dental follicle. The tumour occurs more frequently in children and young adults, and has a predilection for occurrence in mandible. The tumour presents as an expansile multilocular radiolucency. Odontogenic fibrosarcoma is very rare and is the malignant counterpart of odontogenic fibroma. Pain may be a feature of this neoplasm. Surgical removal is the treatment of choice for central odontogenic fibroma. Recurrence is rare.

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