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Fibrous Dysplasia — ORE Part 1 MCQ

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ModerateOral PathologyFibrous DysplasiaORE Part 1

A 16-year-old patient has a slowly enlarging, bony-hard swelling of the right maxilla with gradual displacement of adjacent teeth. CT demonstrates expansion of the maxilla and diffuse ground-glass replacement of normal bone. There is no pain, visual disturbance, nasal obstruction or rapid enlargement. What is the most appropriate management?

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Correct answer: C — Observe with review; contour after maturity if required

This is craniofacial fibrous dysplasia. In a 16-year-old with slowly progressive maxillary enlargement but no functional compromise or aggressive features, observation is appropriate. If facial asymmetry, occlusal disturbance or functional impairment becomes significant, conservative recontouring may be used; delaying elective contouring until lesion growth has settled reduces the likelihood of further regrowth. Radical resection or wide-margin excision is reserved for selected aggressive, rapidly growing or severely symptomatic lesions, not routine unilateral maxillary disease. Radiotherapy is inappropriate for this benign condition. Bisphosphonates do not reduce lesion expansion and are not indicated simply to control an asymptomatic craniofacial lesion; they may have a limited role for bone pain in selected patients.

Reference: Titinchi M, Morkel J, Opperman J, Titinchi F. Management of craniofacial fibrous dysplasia: conservative or radical approach? Oral Maxillofac Surg. 2026. https://pubmed.ncbi.nlm.nih.gov/41748964/