Diagnosis Of Florid Cemento-osseous Dysplasia Research Articles

Florid cemento-osseous dysplasia associated with multiple impacted teeth in a Japanese female

Rationale: Florid cemento-osseous dysplasia (FCOD) is a rare, benign, multifocal fibro-osseous dysplastic process affecting the tooth-bearing areas of the jaw. Although FCOD is often symmetrically located in various regions of the jaw, cases associated with impacted teeth are very rare. FCOD most commonly affects females in the fourth and fifth decades of life, and is seen less frequently in Asian populations. Patient concerns: A 39-year-old Japanese female was referred to our department with dull pain in region 28. Intraoral examination revealed that all third molars were completely impacted. Imaging findings revealed multiple periapical sclerotic areas surrounded by radiolucent zones in regions 28, 38, and 48. Diagnosis: Histological appearance was compatible with a diagnosis of FCOD. Interventions: Under general anesthesia, we performed the extraction of the lesions with the impacted third molars. The lesions were gritty and reddish brown, continuous to the roots of 28, 38, and 48. Outcomes: The patient had no complications during the 2-year follow-up period. Lessons: Although FCOD has sex and racial ubiquity, it may occur in the opposite sex and other races. Appropriate treatment should be selected depending on the presence or absence of symptoms.

Difficulties in the diagnosis of periapical translucencies and in the classification of cemento-osseous dysplasia

BackgroundCemento-osseous dysplasia is a benign fibro-osseous lesion of the tooth-bearing region of the jaws with a periodontal ligament origin. It appears predominantly in Black and Asian middle-aged females. Its importance is that it could mimic a periapical lesion in the early, translucent stage.Case presentationIn this report a rare case of familial cemento-osseous dysplasia is presented: a 50-years old Caucasian woman with labial paraesthesia and radiological translucency around the roots of the mandibular incisors and the first molar teeth. The lesion around the first molar was diagnosed as periapical granuloma and a root canal treatment was carried out. The diagnosis of florid cemento-osseous dysplasia and the treatment plan based on two- and three-dimensional radiographic examinations were certified histologically after surgical removal of the lesion. We screened the family members - including the patient’s mother, daughter and son - and identified a periapical version of cemento-osseous dysplasia in the daughter. Our case highlights the difficulties of differential diagnosis of cemento-osseous dysplasia and other periapical pathologies. The inconsistencies in the present classification of cemento-osseous dysplasia are also discussed with a proposal for a different classification based on new aspects that would be very helpful in setting up a correct treatment plan.ConclusionDifferentiation of endodontic and non-endodontic origin of radiolucency and distinguishing it from anatomical landmarks by appropriate clinical evaluation and using vitality testing can give an opportunity to prevent unnecessary endodontic treatment.The current categories of cemento-osseous dysplasia classification do not cover the early stage of a hereditary florid form of cemento-osseous dysplasia.Instead of anatomical location of the lesion, clinical and genetic features may be recommended as parameters of cemento-osseous dysplasia classification.

Progress in the diagnosis of florid cemento-osseous dysplasia

Florid cemento-osseous dysplasia (FLCOD) is a rare, extensive bone metabolism disorder, which occurs only in the jaw bone. It is usually asymptomatic for a long time and discovered incidentally during a radiological examination. The characteristics of FLCOD in the initial stages are similar to those of periapical granuloma or jaw cyst, which may lead to misdiagnosis. After the lesion is mature, the imaging findings show that radiopaque with a thin radiolucent peripheral halo, which is crucial for the diagnosis of FLCOD, but other jaw lesions have similar imaging findings. Due to the poor blood supply of the lesion, the alveolar bone of root apices of vital teeth is slow to heal after trauma, increasing the chance of infection, which can lead to the osteomyelitis of the jaws and emerge sequestrum. This paper reviews the aspects of pathogenesis, clinical characteristics, diagnosis, differential diagnosis and treatment.

Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report

IntroductionCemento-osseous dysplasia is a jaw disorder characterized by a reactive process in which normal bone is replaced by connective tissue matrix. There are different Cemento-osseous dysplasia entities. The treatment of these lesions, once diagnosed by radiology, is not required because generally they are asymptomatic. The localization is in the tooth-bearing areas of the jaws and its distribution is symmetric.Case ReportsIn this case report, a 57-year-old Caucasian female patient was referred to our attention complaining of painful inflammatory events localized in the right angle of the jaw. The radiographic appearance, the distribution of several lesions and the positive vitality test of the involved teeth, supported the diagnosis of Florid Cemento-osseous dysplasia. Because of the symptomatology, the patient was submitted to surgery and the lesion and the second inferior right molar were removed. The histological examination of the specimens confirmed the diagnosis.DiscussionMany lesions that may exhibit a similar sclerotic appearance on conventional radiographs have to be differentiated and dental imaging can be used to discriminate between Florid COD and other lesions. Diagnosis of Florid Cemento-osseous dysplasia can be made with accurate clinical and radiographic assessment. In asymptomatic cases no treatment is required and the patient should have regular follow-up, but in this symptomatic case it was necessary to proceed with surgical intervention. The surgery treatment in the symptomatic case had a favourable prognosis and the two years follow-up has shown a complete healing. Given the abow, it is concluded that the choice of treatment must be selective according to the disease sites. Key words:Cemento-ossifying dysplasia, fibro-osseous lesions, florid cemento-osseous dysplasia, cementoma.

Florid cemento-osseous dysplasia complicated by chronic diffuse osteomyelitis in the maxilla

Florid cemento-osseous dysplasia (FCOD) is a benign fibro-osseous lesion that primarily affects the jaws of middle-aged women of African ancestry. This lesion may be completely asymptomatic and in such cases the lesion is detected incidentally in radiographs. Clinical symptoms may occur due to secondary infection of exposed masses or may be due to mucosal irritation under prostheses. Radiographic features of these lesions pass from initially radiolucent (osteolytic stage), then develop into mixed radiolucent/radiopaque lesions (intermediate or cementoblastic stage) before becoming radiopaque masses (osteosclerotic or inactive phase) usually located in multiple quadrants of the jaws. Occurrence of FCOD with chronic suppurative osteomyelitis is rare. In this article a case of FCOD is reported which had evidence of infection as the first presentation. A 52-year-old Indian female patient was initially diagnosed as having chronic suppurative osteomyelitis based on clinical findings but later diagnosed with FCOD after radiological examination of a digital orthopantomogram. Histopathological findings revealed formation of calcified dense sclerotic masses of cementum suggestive of the diagnosis of FCOD. The patient was managed by periodical debridement of the area which had undergone osteomyelitic changes and with oral clindamycin 300 mg. This case emphasizes that the diagnosis of FCOD can be done on radiographic features alone. Early radiological investigations should be carried out to prevent complications in FCOD patients.

Florid cemento-osseous dysplasia

Floridcemento-osseous dysplasia (FCOD) is a“fibro-osseouslesion” that characteristically affects the jaw bones of the middle-aged with multi-quadrant radiopaque cementum-like masses. In thepast, the condition was known with a variety of names causing confusion in diagnosis and treatment. The condition is usually asymptomatic and needs no treatment as such. The diagnosis of FCOD is made on the basis of typical clinico-radiological features and biopsy is usually not recommended due to the risk of postoperative infection. This paper reports a rare case of FCOD affecting mandible bilaterally in a forty-two years old woman.

Dento-osseous anomalies associated to familial adenomatous polyposis mimicking florid cemento-osseous dysplasia

Familial adenomatous polyposis (FAP) is a colorectal cancer syndrome characterized by the development of multiple polyps of the colon and rectum with high risk of malignant transformation. The extraintestinal manifestations such as dento-osseous changes are associated with FAP. This is a case report of a 36-year-old female patient who was referred for dental treatment with the initial diagnosis of florid cemento-osseous dysplasia (FCOD). However, the association of the imaging dento-osseous findings with the medical history confirmed the diagnosis of FAP. The paper illustrates the clinical characteristics and imaging findings associated with FAP, and also discusses misdiagnosis based exclusively on imaging features.

Florid cemento-osseous dysplasia: a report of two cases seen at the university college hospital ibadan.

Florid cemento-osseous dysplasia (FCOD) is commonly seen in black women, but few cases have been reported in sub-Saharan Africa. This article presents two cases of FCOD seen at the University College Hospital Ibadan. Two women aged 70 and 60 years were initially diagnosed as chronic osteomyelitis but both were eventually diagnosed as florid cementoosseous dysplasia after radiological examination by orthopanthomogram. Diagnosis of florid cemento-osseous dysplasia is possible by clinical examination and the distinct radiological presentation, especially on orthopanthomogram and a biopsy may not be required.

Dysplasie cémento-osseuse floride des maxillaires

Florid cemento-osseous dysplasia is a benign and rare tumor of the jaws. It is more commonly seen in middle-aged black women. Most cases are asymptomatic and are found during routine radiographic examination. We report two complicated cases of florid cemento-osseous dysplasia, one with facial deformity and the other with chronic osteitis. The diagnosis of florid cemento-osseous dysplasia is based on clinical and radiological features. The lesions are commonly bilateral and symmetrical.

Clinical, radiographic, biochemical and histological findings of florid cemento-osseous dysplasia and report of a case

Florid cemento-osseous dysplasia has been described as a condition that characteristically affects the jaws of middle-aged black women. It usually manifests as multiple radiopaque cementum-like masses distributed throughout the jaws. This condition has also been classified as gigantiform cementoma, chronic sclerosing osteomyelitis, sclerosing osteitis, multiple estenosis and sclerotic cemental masses. The authors present a case of an uncomplicated florid cemento-osseous dysplasia in a 48-year-old black woman. Multiple sclerotic masses with radiolucent border in the mandible were identified radiographically. Histopathologic findings revealed formation of calcified dense sclerotic masses similar to cementum. All clinical, radiographic, biochemical and histological features were suggestive of the diagnosis of florid cemento-osseous dysplasia.

Florid cemento-osseous dysplasia in a young Indian woman. A case report

We present a rare case of florid cemento-osseous dysplasia (FCOD) occurring in a 27-year-old Indian woman. She presented with three lesions, two of them symmetrical, at the posterior region of the mandible. Another lesion appeared nine months later, symmetrical to the existing third lesion. This confirmed the diagnosis of florid cemento-osseous dysplasia as being symmetrical asymptomatic bone lesions occurring in the jaw. The diagnosis was made radiographically depending on a series of radiographs, as biopsy is contraindicated. No treatment was required as the lesions were asymptomatic, causing no problem to the patient. The patient continues to be reviewed annually. The case is rare in its unusual combination of the disease itself (FCOD), age (27 years) and race (Indian). Clinical and radiological features are presented.

Florid cemento-osseous dysplasia (gigantiform cementoma) in a caucasian woman

The present study reports a case of an uncomplicated florid cemento-osseous dysplasia in a 39-year-old Caucasian woman. The extensive dysplastic lesions affected all jaw quadrants and both radio-opaque and lytic lesions were demonstrated radiographically. Histopathological studies revealed calcified, partly acellular cementum-like tissue. All clinical, radiographic, biochemical and histological features were suggestive of the diagnosis of florid cemento-osseous dysplasia.