Clinical, demographic, and radiographic analysis of 82 patients affected by florid osseous dysplasia: an international collaborative study

Abstract

Objective. The aim of this study was to correlate the clinical, demographic, and radiographic aspects of 82 cases of florid osseous dysplasia (FOD) from four countries assessed by five reviewers. Study Design. Retrospective data of patients diagnosed with FOD were obtained from archives of five institutes and analyzed according to clinical and radiographic criteria. Results. A total of 82 cases of FOD were included in the study. In the majority (77.5%) of FOD cases, black women were affected. The disease mainly affected the mandible (100%), and the stage of the lesion was directly correlated with the age (P < .05). The rates of convergence showed confluence of assessment in the mandible (posterior), and the highest rate of divergence between the reviewers was in assessing involvement in the maxilla. There were no differences among the characteristics of the lesion provided by the five institutions, except for the variable proportion of black patients affected by the disease. Conclusions. FOD mostly affects the mandible of middle-aged black women, and its stage is correlated with patient age. Although panoramic radiography is used for diagnosis, the divergence in assessment of the maxilla might indicate that this method is not the most suitable to evaluate this area.

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

“…The author only stressed the importance of periodic control of the patient with oral prophylaxis and reinforced the relevance of good oral hygiene to prevent periodontal disease and tooth loss. The need for a careful plaque control has been emphasized in the literature [9,11,20,21].…”

“…In the cementoblastic stage, radiopaque masses are seen in the radiolucent area due to mineralization (deposition of a cementum-like material). The final stage is characterized by a radiopaque mass in the lesion [5,7,11,15]. Thus, the radiographic changes observed from 2006 to 2017, during and after orthodontic management, represent the usual developmental stages of the lesion.…”

“…Due to the risk of infection, osteomyelitis and bone sequestrum formation, biopsy should be performed only in cases in which the radiolografic and clinical findings are insufficient for a diagnosis [7,9]. Patients should be followed-up for observation of clinical and radiographic alterations [10,11]. Referral of patients with FCOD to orthodontics and other allied specialties of dentistry should be done carefully [12,13].…”

Displasia cemento-óssea florida: relato de dois casos tratados por diferentes abordagens

“…Da mesma forma, desconhece-se o motivo para a notável prevalência da lesão em mulheres melanodermas, entre a 4ª e a 5ª décadas de vida 4 . Uma correlação entre alterações hormonais e o aparecimento das lesões tem sido sugerida, entretanto a natureza de tal relação ainda não foi esclarecida 1,5 .…”

Cemento-osseous dysplasia: a diagnostic challenge

“…[5][6][7] All variants are asymptomatic and although sporadic cases have been reported in Caucasians, it is middle-aged to elderly Black-and Asian females are primarily affected. [8][9][10][11] The epicentre of all types is the alveolar bone close to the apices of vital teeth and uncomplicated mature lesions manifest without tooth displacement or root resorption and no-or minimal expansion. 2,5 Most COD's only become symptomatic when secondarily infected.…”