Ossifying fibromas of the jaws and craniofacial bones

Fibro-osseous lesions include a large group of pathologic processes in which normal bone is replaced by fibrous tissue containing variable amounts of mineralised material. Due to considerable similarity of features, definitive diagnosis of these lesions requires an accurate correlation of the clinical, radiographic and histopathological findings.Ossifying fibroma is a fibro-osseous neoplasm that commonly affects the jaw bones and comprises three distinct entities, all with overlapping features. We review the clinicopathologic and radiographic features of cemento-ossifying fibroma (COF), juvenile trabecular ossifying fibroma (JTOF) and juvenile psammomatoid ossifying fibroma (JPOF).