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Benign fibro-osseous lesion of the craniofacial complex is a broader term representing various diseases that are characterized by replacement of normal bone with hypercellular fibroblastic stroma with varying amount of pathologic ossifications and calcifications. Focal cemento-osseous dysplasia is of uncertain etiopathogenesis, with reactive and dysplastic processes as the suggested underlying mechanisms. The present case was unusual due to the involvement of maxillary posterior region in a young female which presented as bony enlargement.