Abstract
Florid cemento-osseous dysplasia is a benign fibro-osseous lesion that involves multiple quadrants of the jaws in which normal bone is replaced by fibrous tissue followed by calcification with osseous tissue. We report a case of a 51-year-old woman with melanoderma presenting painful symptoms and swelling of stony consistency in the left mandibular buccal side. Cone beam computed tomographic images showed multiple well-defined sclerotic masses with radiolucent border in anterior and posterior regions of the mandible. Bone scintigraphy showed an increase of uptake of the mandible. The patient was submitted to surgery, and the lesion and the second inferior left premolar were removed. Histopathologic examination showed spicules of bone and cementum-like material in some areas interspersed throughout a moderately cellular fibrous connective tissue stroma; it also revealed coalescent masses of bony trabeculae and hemorrhagic points. The diagnosis was florid cemento-osseous dysplasia. The patient is asymptomatic and under follow-up for 6 months.
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