Familial florid Cemento‐osseous dysplasia – case report and review of literature

Thorawat, Amit; Kalkur, Chaitra; Naikmasur, Venkatesh G; Tarakji, Bassel

doi:10.1002/ccr3.426

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…Visto que o diagnóstico das DO deve ser embasado somente por meio dos aspectos clínicos e radiográficos, uma vez que a biópsia é contraindicada, mesmo em casos com padrões expansivos e perfurantes (5,(10)(11)(12), os dois relatos de caso se basearam nestes aspectos para o diagnóstico final.…”

Section: Discussionunclassified

“…O diagnóstico das DO é normalmente feito correlacionando dados como: gênero, idade e etnia com os aspectos radiográficos (localização, apresentação e quantidade de lesões). Um correto diagnóstico clínico imagiológico é de suma importância, visto que a biópsia destas lesões é contraindicada, uma vez que o osso afetado é amorfo, apresenta vascularização deficiente e é mais susceptível a infecções secundárias (5,(10)(11)(12).…”

Section: Introductionunclassified

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Displasia Óssea Florida Expansiva: relatos de dois casos incomuns

Moro¹,

Lopes

2019

Rev. Naval de Odontologia

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A displasia óssea geralmente é um achado radiográfico, por não apresentar, em sua maioria, alterações clínicas. Contudo, um novo subtipo de displasia, que afeta preferencialmente mulheres negras de meia-idade e promove expansão do osso cortical envolvido, tem sido relatada como Displasia Óssea Expansiva. O objetivo deste artigo é relatar dois casos de Displasia Óssea Florida com expressivo aspecto expansivo e perfuração das corticais ósseas envolvidas. O primeiro relata uma paciente negra, 46 anos, que compareceu à Odontoclínica Central da Marinha necessitando de restauração indireta em um dente. O exame clínico demonstrou um aumento de volume duro na face lingual do rebordo alveolar dos incisivos inferiores. Na radiografia panorâmica, foram observadas duas imagens de densidades mistas com predomínio de áreas radiopacas nas regiões apicais dos dentes anteroinferiores e do primeiro molar inferior esquerdo. A tomografia computadorizada mostrou expansão, adelgaçamento da cortical vestibular e perfuração da cortical lingual na região dos incisivos. O segundo caso apresenta uma paciente de meia idade, feoderma, que buscou atendimento para acompanhamento de lesão mista na mandíbula, nas regiões apicais dos dentes anteriores, pré-molares e na região correspondente ao terceiro molar direito. Na tomografia computadorizada por feixe cônico observaram-se expansão e adelgaçamento da cortical vestibular nos dentes anteroinferiores. Com base na literatura atual e nas características de ambas as lesões, a hipótese diagnóstica para ambos os casos foi de Displasia Óssea Florida com aspecto expansivo. As pacientes foram orientadas sobre a importância da higiene bucal adequada e da necessidade de um acompanhamento clínico imagiológico anual destas lesões.

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Section: Discussionunclassified

Section: Introductionunclassified

Displasia Óssea Florida Expansiva: relatos de dois casos incomuns

Moro¹,

Lopes

2019

Rev. Naval de Odontologia

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“…Florid osseous dysplasia (FOD) is the widespread form of osseous dysplasia; periapical OD is confined to the anterior mandible; focal OD occurs in a single sextant and familial gigantiform cementoma is an uncommon variant encountered preferentially in young patients that can lead to considerable bone expansion [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Women are more affected than men and the disease occurring mostly around the fourth decade [ 10 ]. Several autosomal dominant cases of FOD have also been reported in the literature [ 5 , 8 ]. Interestingly and similarly to the third case previously presented, simple bone cysts have been reported in association with FOD, but no conclusive explanation for such association has been found yet [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Differentiating early stage florid osseous dysplasia from periapical endodontic lesions: a radiological-based diagnostic algorithm

et al. 2017

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BackgroundOsseous dysplasia (OD) is the most common fibro-osseous lesion of the jaw affecting the periapical region. Early stages of OD can resemble periapical radiolucencies, thus mimicking the radiological aspects of an endodontic pathology. Such radiolucent lesions affecting previously decayed or treated teeth are even more complex to interpret.Case presentationThe aim of this paper is to report a case-series of representative clinical situations describing the radiological features and illustrating the diagnostic workup of patients with florid osseous dysplasia (FOD). Emphasis is given to the endodontic implications of such periapical bone disease and the complexity of accurate diagnosis in the context of endodontic retreatment. We then propose a practical radiological-based diagnostic algorithm to assist the clinician in the diagnostic of OD periapical lesions.ConclusionPeriapical lesions may be confused with bone diseases such as osseous dysplasia, especially in the radiolucent initial stage. Knowledge of clinical features associated with a careful reading of cone beam CT images, such as fine opacities within the hypodense periapical lesion, may help determine the right diagnostic.

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Florid cemento-osseous dysplasia: review of an uncommon fibro-osseous lesion of the jaw with important clinical implications

et al. 2017

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Florid cemento-osseous dysplasia (FCOD) is a rare, benign, multifocal fibro-osseous dysplastic process affecting tooth-bearing areas of the jaw, characterized by replacement of normal trabecular bone with osseous tissue and dense acellular cementum in a fibrous stroma. It is one clinicopathologic variant in a spectrum of related non-neoplastic fibro-osseous lesions known as cemento-osseous dysplasias (CODs), thought to arise from elements of the periodontal ligament. Diagnosis primarily relies upon radiographic and clinical findings; unnecessary biopsy should be avoided, as inoculation with oral pathogens may precipitate chronic infection in these hypovascular lesions. Appropriate management of uncomplicated FCOD consists of periodic radiographic follow-up. Accordingly, it is important that both radiologists and clinicians performing endodontic interventions possess familiarity with this entity in order to prevent misdiagnosis and inappropriate intervention, which may result in a protracted clinical course. Lesions are usually asymptomatic in the absence of infection, typically discovered on routine dental radiographs or imaging performed for unrelated indications. Radiographically, the condition typically manifests as widespread non-expansile intraosseous masses of varying internal lucency and sclerosis that surround the root apices of vital teeth or edentulous areas in the posterior jaw. While all CODs share similar microscopic features, FCOD is distinguished by its multifocal distribution, involving two or more quadrants of the maxilla and mandible, often in a bilateral symmetric fashion. The vast majority of cases are sporadic, though few exhibit an autosomal dominant familial inheritance pattern. In this pictorial review, we discuss the radiologic characteristics of this entity, pertinent clinical and histologic features, differential diagnoses, and management options.

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Familial florid Cemento‐osseous dysplasia – case report and review of literature

Cited by 8 publications

References 15 publications

Displasia Óssea Florida Expansiva: relatos de dois casos incomuns

Displasia Óssea Florida Expansiva: relatos de dois casos incomuns

Differentiating early stage florid osseous dysplasia from periapical endodontic lesions: a radiological-based diagnostic algorithm

Florid cemento-osseous dysplasia: review of an uncommon fibro-osseous lesion of the jaw with important clinical implications

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