Fibro-osseous Lesions in the Maxillofacial Region

AbstractFibro-osseous lesions have posed a diagnostic dilemma since the beginning when the first case was reported in the late nineteenth century. Since then, various lesions are included in this group, yet the understanding of the lesions remains obscure for the clinician/surgeon. The main reason for this is their histological resemblance with one another, where they all show varying degrees of healthy bone replaced by fibrous tissue and some amount of bone/cementum-like tissue intermingled in between. This chapter is written with the aim of simplifying these groups of bony lesions for its readers and highlighting the key idea of interdisciplinary approach in the management of these lesions where the oral pathologist along with radiologist and clinician plays a pivotal role in differentially diagnosing these lesions, for the maxillofacial surgeon to choose and perform her/his duty of managing them, rightfully, for their patients. The spectrum of these lesions has seen several changes during the course of history yet there is still ample scope for ambiguity in identification and classification of the lesions, hence the authors have chosen few most commonly encountered lesions in the Indian subcontinent, for the description and discussion.