Juvenile fibromatosis is a rare, benign but locally aggressive growth of fibrous tissue that mainly affects children. It rarely involves the jaws and it can be difficult to diagnose because it looks like odontogenic tumor or cyst on examination and X-rays. This paper describes two unusual cases in young children. The first was a 9-year-old girl with a painless swelling in mandible. The second was a 3-year-old girl with a lesion in maxilla. X-rays didn't give clear clues, so doctors first thought it might be an odontogenic tumor. But tissue samples showed a mix of fibrous and cellular tissue with spindle-shaped cells growing invasively—classic signs of juvenile fibromatosis. The paper also includes a quick literature review highlighting how rare this is, and the diagnostic headaches it causes. Spotting it early and confirming with pathology is crucial for the right treatment and avoid recurrence.
1Dr. Dhobley Akshay A., 2Dr. Ghatage Dipak D., 3*Dr. Dannar Sunil D., 4Dr. Phalguni Arora, 5Dr. Chatse Pradhnya M. (2026) studied this question.