Abstract
A case of mandibular deformity with central odontogenic fibroma is reported. A 21-year-old woman presented with facial asymmetry. On clinical examination, the center of the mandible was found to have shifted about 10 mm to the left. On radiographic examination, a radiolucent area with the impacted 6 was seen from 5 to the ramus in the mandible. Initially, we started preoperative orthodontic treament. Then, we resected the tumor and reconstructed the mandible with an autogenous iliac bone graft. After another 6 months, we performed sagittal splitting ramus osteotomy (SSRO). Six months after SSRO, an ITI Bonefit® system was implanted into the right molar region to restore the occlusion. The histopathological diagnosis of this tumor was central odontogenic fibroma.