Oral management of a patient with cemento-osseous dysplasia: a case report

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.Indexing terms: Oral pathology. Orthodontics. Radiography. RESUMOA displasia cemento-óssea florida é um subtipo de lesão fibro-óssea que geralmente aparece nos ossos gnáticos de mulheres negras de meia idade. Clinicamente a displasia cemento-óssea florida é assintomática. Os aspectos radiográficos mostram uma área radiolucente

Diferentes manifestações imaginológicas da displasia cemento-óssea: relato de dois casos clínicos

“…Por conseguinte, há três tipos de condutas a serem seguidas diante das DCOs: acompanhamento, tratamento tradicional ou as cirurgias invasivas (Reis et al, 2020). Na ocorrência de infiltrado inflamatório relacionada a infecção local, o tratamento cirúrgico associado com a antibioticoterapia é recomendado (Kato et al, 2019). Já em casos sem sintomatologia, é apropriado a assistência clínica e radiográfica, com o intuído de se certificar que não está ocorrendo expansão da lesão (Souza et al, 2021).…”