Retrospective Study of Fibro-Osseous Lesions of the Oral and Maxillofacial Region: Clinical, Radiological, and Pathological Diagnosis

A BSTRACT Aim: The study aimed to retrospectively evaluate the clinical, radiological, and pathological features of fibro-osseous lesions (FOLs) in the oral and maxillofacial region and to assess their management outcomes. Methodology: Sixty patients diagnosed with FOLs over a 5-year period were included. Clinical presentation, radiographic features, histopathology, lesion location, treatment modality, and follow-up outcomes were analyzed. Results: Fibrous dysplasia was the most common lesion (42%), followed by ossifying fibroma (33%) and cemento-osseous dysplasia (25%). Mandibular involvement was higher (62%), and surgical enucleation was the primary treatment. Recurrence was minimal, occurring only in one case of ossifying fibroma. Conclusion: Accurate diagnosis combining clinical, radiographic, and histopathological data is essential for appropriate management of FOLs. Surgical intervention provides effective outcomes with low recurrence, while observation is appropriate for selected asymptomatic lesions.