Abstract
ABSTRACT Florid cemento-osseous dysplasia is a subtype of fibrous-osseous lesion that commonly appears in the jaws of middle-aged black women. Clinically, the florid cemento-osseous dysplasia is asymptomatic. The radiographic aspect shows a radiolucent area with several masses of radiopaque structures, typically found in the toothbearing areas. Usually, the diagnosis is made during routine radiographic examination. The treatment is required when infection occurs due to exposure of the lesion in the oral cavity. In these severe cases, pain and facial deformity may be present. Commitment oral hygiene and routine dental visits for check-up are recommended for individuals affected. The objective of this study was to present a clinical case of a 24-year-old white woman with florid cemento-osseous dysplasia, who had been under surveillance for 13 years. Some changes in the radiographic pattern were observed as the orthodontic treatment was carried out in a private service. No tooth extraction was performed. This change is expected because florid cemento-osseous dysplasia has different radiographic aspects that correspond to the different developmental stages of the lesion. It is suggested, however, that the presence of florid cemento-osseous dysplasia did not preclude the success of the orthodontic treatment.
Highlights
CASE REPORTFibro-osseous lesions are conditions that may affect the bones of the maxillofacial region
According to the World Health Organization, the ossifying fibroma, familial gigantiform cementoma, fibrous dysplasia and cemento-osseous dysplasia have been included in the group of fibro-osseous lesions [4]
The radiographic aspect of Florid cementoosseous dysplasia (FCOD) is characterized by multiple radiopaque areas with an aspect of lobulated masses [5,6]
Summary
Fibro-osseous lesions are conditions that may affect the bones of the maxillofacial region. The panoramic radiograph showed a radiopaque mass with a lobular pattern in a well-defined, round and radiolucent area around the apex of the mandibular left second pre-molar. The periapical radiograph of anterior region of the mandible showed bone changes close to the apex of the mandibular central incisors similar to those of the posterior region (figure 2). Due to bone expansion an incisional biopsy was carried out in the area of the mandibular left second premolar This exam showed fragments of benign fibro-osseous tissue with the presence of calcified structures, represented by immature bone tissue with fibrous connective tissue (figure 3). A round radiopaque mass of calcified tissue was observed in contact with the root of the mandibular left pre-molar, surrounded by a radiolucent area. Written informed consent of the patient was obtained for publication of the case report
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
