Ossifying fibroma is a benign fibro-osseous lesions of the jaws that are characterized by replacement of normal bone by fibrous tissue containing a newly formed mineralized product. It generally manifests in third to fourth decade of life with female predilection and mandibular premolar-molar region being the most common site of occurrence. It usually presents as a single, painless, slow growing, spherical or ovoid swelling, causing significant facial asymmetry. Radio graphically; the features of ossifying fibroma may vary markedly from an initial radiolucent lesion to mixed and sclerotic type, depending on the amount of mineralized tissue within the tumor. The wide spectrum of radiographic presentations makes clinical diagnosis difficult on initial presentation. Here, we report an unusual radiographic presentation of an ossifying fibroma of mandible in a 14-year-old boy.
