Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting

Netto, Juliana De Noronha Santos; Cerri, Juliana Machado; Miranda, Águida Maria Menezes Aguiar; Pires, Fábio Ramôa

doi:10.1016/j.oooo.2012.05.022

Cited by 73 publications

(80 citation statements)

References 31 publications

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“…This result may be related to the fact that florid COD is more often symptomatic than the other types of COD, besides their study included only cases with histopathological diagnosis. In agreement with our findings, other studies have also found that the mandible was the bone most involved in COD (3,11,12). The mandibular central incisors and premolars were the most affected teeth in the periapical and focal COD, respectively.…”

Section: Discussionsupporting

confidence: 93%

“…In this study, CODs were more common in women, with a mean age between the 5th and 6th decades of life, similar to the findings of other studies (3,11,12). The present study did not include the data on ethnicity of each patient because they were not recorded in the radiological reports, although most studies have found higher predilection for black patients (3,4,13).…”

Section: Discussionsupporting

confidence: 88%

“…In this series, we used CBCT images, that allowed all imaging aspects involved in COD to be assessed in detail, without magnification, distortion or overlapping structures, thus representing an advantage in data reliability. In general, COD have welldefined limits and the cases of tooth displacement, root resorption or expansion or rupture of cortical are uncommon (11,12). In the present study, bone cortical expansion was observed in 14.6% of the cases, distributed on florid and periapical COD.…”

Section: Discussionsupporting

confidence: 49%

“…Many studies on COD were conducted by evaluating conventional radiographs (3,6,11,12). In this series, we used CBCT images, that allowed all imaging aspects involved in COD to be assessed in detail, without magnification, distortion or overlapping structures, thus representing an advantage in data reliability.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of COD is usually made by correlation of demographic information (age, gender and ethnicity), clinical (location and number of lesions) and imaging (image type and density) features (11). The diagnosis based on these features is essential because the affected bone tissue is more susceptible to infections and invasive procedures such as biopsies could cause this effect (12).…”

Section: Introductionmentioning

confidence: 99%

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Cemento-Osseous Dysplasias: Imaging Features Based on Cone Beam Computed Tomography Scans

et al. 2018

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Imaging exams have important role in diagnosis of cemento-osseous dysplasia (COD). Cone beam computed tomography (CBCT) stands out for allowing three-dimensional image evaluation. This study aimed to assess the prevalence of cases diagnosed as COD on CBCT scans, as well identify the main imaging features related to these lesions. An analysis was performed in a database containing 22,400 radiological reports, in which all cases showing some type of COD were initially selected. These CBCT exams were reevaluated to confirm the radiographic diagnosis and determine the prevalence and distribution of the types of COD with regard to gender, age and preferred location, while describing its most common imaging aspects. Data were presented using descriptive analyses. There were 82 cases diagnosed as COD in the CBCT images (prevalence of 0.4%). The distribution of patients was 11 (13.4%) male and 71 (86.6%) female, with a mean age of 49.8 years (age-range 17-85 years). There were 47 (57.3%) cases of periapical COD, 23 (28%) of focal COD and 12 (14.6%) of florid COD. The mandible was more affected than the maxilla. In most cases, the lesions were mixed or hyperdense. All COD had well-defined limits and there were no cases of tooth displacement. In conclusion, periapical COD was the most common type and the most affected bone was the mandible. Imaging evaluation is critical for diagnosis and dentists should bear in mind all possible radiographic presentations of COD in order to prevent misleading diagnoses and consequently, inadequate treatments.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cemento-Osseous Dysplasias: Imaging Features Based on Cone Beam Computed Tomography Scans

et al. 2018

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Multifocal periapical cemental dysplasia in periodontal Ehlers–Danlos syndrome combined with leukoencephalopathy in the mutation of c.890G > a, G297D [pEDS]

Nilius¹,

Nilius²,

Müller³

et al. 2022

Clinical Case Reports

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An osseous lesion in the maxillary sinus—Tumour or tumour‐like?

Nicklisch

Maier

Schulz

et al. 2018

Intl J of Osteoarchaeology

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In the bioarchaeological analysis of burials from a medieval graveyard at Hettstedt, Central Germany, a male skeleton of about 40 to 50 years at death with an unusual bony structure in the left maxillary sinus was discovered. Macroscopic examination exhibited a balloon‐shaped osseous lesion with solid cortical surface 2.5 × 1.5 cm in size. Micro‐CT scans revealed trabecular structures around a central cavity. The margins of the osseous lesion were well defined without infiltration of normal maxillary bone tissue. The histopathological analysis showed the presence of lamellar and woven bone. The structure and localisation of the tumour‐like lesion suggest that the formation was the result of chronic inflammation and that chronic dental sinusitis seems to have triggered a large reactive ossification.

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Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting

Abstract: Florid OD, OF, and FD were the most common diagnoses, and the clinicopathologic and radiologic features were somewhat distinct from the characteristics of other populations.

Cited by 73 publications

References 31 publications

Cemento-Osseous Dysplasias: Imaging Features Based on Cone Beam Computed Tomography Scans

Cemento-Osseous Dysplasias: Imaging Features Based on Cone Beam Computed Tomography Scans

Multifocal periapical cemental dysplasia in periodontal Ehlers–Danlos syndrome combined with leukoencephalopathy in the mutation of c.890G > a, G297D [pEDS]

An osseous lesion in the maxillary sinus—Tumour or tumour‐like?

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