Work

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

Year: 2011

Type: article

Abstract: The term florid cemento-osseous dysplasia (FCOD) refers to a group of fibro-osseous (cemental) exuberant lesions with multi-quadrant involvement. 1 FCOD is a rare condition presenting in the jaw.This lesion is the most commonly found in middle-aged black women, although it also may occur in Caucasians and Asians, 2,3 and has been entitled as sclerosing osteitis, multiple enostoses, diffuse chronic osteomyelitis, and gigantiform cementoma.In some cases, a familial trend has been observed.[4][5][6][7] The process may be totally asymptomatic and, in such cases, the lesion is detected on radiographs for some other purposes.8 Symptoms such as dull pain or drainage are almost always associated with exposure of sclerotic calcified masses in the oral cavity.This may occur as the result of progressive alveolar atrophy under a denture or after extraction of teeth in the affected area.9 FCOD lesions have a striking tendency toward bilateral, often quite symmetrical, location, and it is not unusual to find extensive lesions in all four posterior quadrants of the jaw. 10 Radiographically, FCOD appears as dense, lobulated masses and often symmetrically located in various regions of the jaws.Computed tomography (CT) is useful for the evaluation of this lesion because of its ability to acquire axial, sagittal, and frontal views.This report describes a case of a patient who was diagnosed with florid cement-osseous dysplasia on the basis of clinical, radiographic, and histological findings. Case ReportA 52-year-old Korean female visited Seoul Veterans Hospital with a complaint of acute pain and gingival swelling on the right mandibular molar region.The patient was systemically healthy and her physical examination showed no significant abnormality.Intraoral examination revealed completely edentulous state.The overlying gingiva of the right mandibular area showed swelling and inflammation clinically.On palpation, bilateral buccal bony expansion was noted on the posterior mandible and maxilla (Fig. 1).She had a complete denture, however her denture was out

Source: Imaging Science in Dentistry

DOI: 10.5624/isd.2011.41.3.139

Authors: Jeong-Hee Kim, Byeong-Chul Song, Sun-Ho Kim, Yang-Soon Park

Institution: Veterans Health Service Medical Center

Language: English

Topic: Oral and Maxillofacial Pathology

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $276