Abstract
Introduction Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws. The word 'florid' was introduced to describe the wide spread, extensive manifestations of the disease in the jaws. The condition is usually asymptomatic, however, in some cases symptoms of dull pain or signs of infection may be noted in the involved area . Florid cemento-osseous dysplasia (FCOD) has been described as a condition that typically affects middle-aged black women, and usually manifests as multiple radiopaque cementum-like masses distributed throughout the jaws. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. Case report A case of asymptomatic uncomplicated florid cemento-osseous dysplasia occurring in a 59-year-old Jordanian female is reported, which can be considered rare regarding race distribution. The long-term follow-up (15 years) shows the different stages of maturation of the lesions and confirms that the condition is selflimited. The diagnosis was based on clinical and radiographic features only. Conclusion The diagnosis of FOCD mainly relies on radiographic and clinical findings. Vitality tests of related teeth are an essential addition to the diagnosis in order to avoid unnecessary endodontic therapy. Biopsy should be avoided in asymptomatic lesions as it may precipitate infection which might be difficult to control without surgical intervention.
Highlights
Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws
Dysplasia (FCOD) was first introduced by Melrose et al in 1976 to describe a condition that probably represents an extensive manifestation of the reactive fibro- osseous process known as Cementoma.[3]
Different terms have been used to refer to cemento-osseous dysplasia Cemento-Osseous Dysplasias (CODs) of the jaws; these include periapical cemental dysplasia,[4] florid osseous dysplasia,[5] florid cemento-osseous dysplasia,[6] focal cemento osseous dysplasia,[7] and gigantiform cementomas.[8]
Summary
Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws. Florid cemento-osseous dysplasia (FCOD) has been described as a condition that typically affects middle-aged black women, and usually manifests as multiple radiopaque cementum-like masses distributed throughout the jaws. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. Case report A case of asymptomatic uncomplicated florid cemento-osseous dysplasia occurring in a 59-year-old Jordanian female is reported, which can be considered rare regarding race distribution. Cemento-Osseous Dysplasias (CODs) as a variety of jaw lesions that are characterized histologically by the presence of cementum-like tissue, and which appear to be dysplasias rather than neoplasms.[1] The WHO report classify CODs on the basis of age, gender, location, histopathologic, radiographic and clinical characteristics.[2]. The lesion is more common in middleaged black women,[3,4] it may occur in Caucasians and Asians.[10,5] In some cases, a familial trend can be observed.[8,10,11]
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