Florid cemento-osseous dysplasia: a case report

Günduz, Kaan; Avsever, Hakan; Karaçaylı, Ümit; Şenel, Buğra; Pişkin, Bülent

doi:10.1590/s0103-64402009000400015

Cited by 23 publications

(36 citation statements)

References 12 publications

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“…However, this disease affects the bone of the entire mandible and shows loss of lamina dura, whereas FCOD is centered above the inferior alveolar canal. Paget's disease is often polyostotic, involving other bones such as spine, femur, skull, pelvis and sternum and produces biochemical serum changes, such as elevated alkaline phosphate levels (10). No biochemical alterations and other bone involvement were found in the case reported.…”

Section: Case Reportmentioning

confidence: 73%

“…In some cases biopsy increases the risk for infection or may cause jaw fractures (10). Management of these conditions involves clinical-radiographic follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…The disease may persist for indefinite periods of time without causing any symptoms (9). For the asymptomatic patient, the best management consists of regular examinations with prophylaxis and reinforcement of good home hygiene care to control periodontal disease and prevent tooth loss (10). In some cases, biopsy or elective extraction of teeth should be avoided.…”

Section: Introductionmentioning

confidence: 99%

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Florid cemento-osseous dysplasia and osteomyelitis: a case report of a simultaneous presentation

Carvalho¹,

Lima²,

Pereira³

et al. 2012

Rev. odonto ciênc.

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Purpose: To report a case of florid cemento-osseous dysplasia (FCOD) and chronic diffuse sclerosing osteomyelitis (CDSO) in a simultaneous presentation, emphasizing the significance of differential diagnosis and appropriate management of these conditions. Case description: A female, 69 years old, black patient had a complaint of itching and pain in posterior left mandibular region. The patient had a yellowish hard mass throughout all quadrants of the jaws. A panoramic radiograph showed a lobular, diffuse and irregular radiopaque lesion. Based on clinical and histopathological findings, the diagnosis was FCOD associated with secondary osteomyelitis.Conclusion: This report reinforces the need of accurate assessment of clinical, radiographic and histopathological aspects for the diagnosis and correct selection of treatment in cases of combined lesions.Key words: Fluorid cemento-osseous dysplasia; osteomyelitis ResumoObjetivo: relatar um caso de displasia cemento-óssea florida (DCOF) e osteomielite esclerosante difusa crônica (OEDC) em uma apresentação simultânea, enfatizando a importância do diagnóstico diferencial e adequado manejo dessas condições.Descrição do caso: Uma paciente do sexo feminino, 69 anos de idade, de cor negra, tinha uma queixa de dor e coceira na região esquerda da mandíbula. A paciente apresentava uma massa dura amarelada envolvendo todos os quadrantes dos maxilares. Foi obtida uma radiografia panorâmica, revelando lesão radiopaca lobular, difusa e irregular. Com base nos aspectos clínicos e histopatológicos, o diagnóstico foi de DCOF associada com osteomielite secundária.Conclusão: esse relato reforça a necessidade de uma avaliação precisa dos aspectos clínicos, radiográficos e histopatológicos para o diagnóstico e seleção correta de tratamento em casos de lesões combinadas.

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Section: Case Reportmentioning

confidence: 73%

“…In some cases biopsy increases the risk for infection or may cause jaw fractures (10). Management of these conditions involves clinical-radiographic follow-up.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Florid cemento-osseous dysplasia and osteomyelitis: a case report of a simultaneous presentation

Carvalho¹,

Lima²,

Pereira³

et al. 2012

Rev. odonto ciênc.

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“…Le premier type atteint surtout des femmes d'âge moyen et d'origine africaine [1,2,3] ; les trois cas présentés appartiennent à ce type. Le deuxième type touche des sujets jeunes et la DO peut atteindre un volume important provoquant des problèmes fonctionnels et esthétiques [1].…”

Section: Fig 15 Ct-scan (A: Axial Slice; B: Coronal Slice) Right Anunclassified

“…Les fragments dentaires et osseux prélevés dans les trois cas ont été fixés dans une solution de formol tamponnée à 10 %. Ils ont subi une décalcification préalable avec le décalcifiant « PM histolab » sur une durée dedeux cas symptomatiques, la seconde attitude a été adoptée dans un second temps car il n'y a pas eu d'amélioration après une antibiothérapie de longue durée ; ceci étant probablement dû à sa faible diffusion dans les tissus sclérotiques [2]. En absence de séquestration, l'intervention chirurgicale est très difficile car la DO ne se détache pas de l'os sain en un bloc et il est nécessaire de réaliser un curetage important de l'os alvéo-laire qui se trouve en périphérie [19].…”

Section: Fig 15 Ct-scan (A: Axial Slice; B: Coronal Slice) Right Anunclassified

Dysplasies osseuses florides : du diagnostic au traitement. A propos de trois cas

Moussaoui

Oualha

Gnaba

et al. 2013

Med Buccale Chir Buccale

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Résumé -Les dysplasies osseuses florides (DOF) sont des lésions ostéo-fibreuses bénignes, rares des maxillaires, qui ne sont pas de nature néoplasique. Les DOF sont habituellement asymptomatiques, leur découverte se fait donc le plus souvent fortuitement lors d'un examen radiologique de routine. Une infection peut survenir à partir d'un foyer infectieux dentaire, la DOF devient alors symptomatique et se manifeste par une douleur, une fistule, un écoulement purulent, voire la formation d'un séquestre. À travers trois cas cliniques de DOF chez des femmes tunisiennes, les auteurs essayent de faire le point sur les caractéristiques cliniques, radiologiques et histopathologiques de cette affection, ainsi que sur le diagnostic différentiel, le traitement et les éventuelles complications. Les caractéristiques cliniques, radiologiques et histopathologiques de ces 3 cas sont comparables à celles retrouvées dans la littérature. Cependant, l'attitude thérapeutique bien qu'elle réponde aux modalités conventionnelles, reste souvent soumise à l'appréciation subjective du praticien et aux exigences du patient.Abstract -Florid osseous dysplasias: from diagnosis to treatment. Three cases report. Florid osseous dysplasias (FOD) are rare benign osteofibrous lesions of the maxillae, of a non-neoplastic nature. FOD are usually asymptomatic; they are often discovered fortuitously during a routine radiological examination. However, a focal infection could occur and FOD therefore becomes symptomatic, manifesting through pain, fistula, pus, or even sequestration. The authors report three clinical cases of FOD in Tunisian women. They tried, through the three cases, to highlight the clinical and radiological characteristics, the histopathology of FOD as well as the differential diagnosis and the treatment of the possible complications. The clinical, radiological and histological characteristics are without particularities and in relation to the literature. However, although the therapeutic attitude responds to the conventional modalities, they often remain subject to the personal judgement of the practitioner and the patient's requirements.Les dysplasies osseuses (DO) sont des lésions ostéo-fibreuses bénignes, qui ne sont pas de nature néoplasique. Elles ont été décrites sous différents termes : énostoses multiples, dysplasie osseuse cémentifiante, dysplasie cémento-osseuse, cémentome. Comme la présence de cément dans ces

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Severe florid cemento-osseous dysplasia: a case report treated conservatively and literature review

Sarmento

Monteiro

Medeiros

et al. 2012

Oral Maxillofac Surg

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Background Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws of middle-aged black women. Radiographically, FCOD appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. FCOD is usually asymptomatic. In severe cases, focal expansion may occur due to infection. Management of the symptomatic patient is more difficult due to the avascular nature of the lesion which contributes to susceptibility severe infection, bone sequestration, and osteomyelitis when surgery is performed. Case report This paper presents a rare case of severe FCOD; the black woman patient was diagnosed based on clinical and radiographic findings and treated conservatively. The examination of panoramic radiographs revealed a multiple sclerotic masses with radiolucent borders, found in the mandible and maxilla which were symmetrical at presentation. The patient continuous with the follow-up. Discussion This report confirms that a diagnosis can be made with accurate clinical and radiographic assessment. The correct selection of treatment for FCOD depends on this information.

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Florid cemento-osseous dysplasia: a case report

Cited by 23 publications

References 12 publications

Florid cemento-osseous dysplasia and osteomyelitis: a case report of a simultaneous presentation

Florid cemento-osseous dysplasia and osteomyelitis: a case report of a simultaneous presentation

Dysplasies osseuses florides : du diagnostic au traitement. A propos de trois cas

Severe florid cemento-osseous dysplasia: a case report treated conservatively and literature review

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