Florid cemento-osseous dysplasia: Report of a case documented with clinical, radiographic, biochemical and histological findings.

Abstract

Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws of middle-aged black women. This condition has also been classified as gigantiform cementoma, chronic sclerosing osteomyelitis, sclerosing osteitis, multiple estenosis and sclerotic cemental masses. It usually exhibits as multiple radiopaque cementum-like masses distributed throughout the jaws. Radiographically, FCOD appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. Computed tomography, because of its ability to give axial, sagittal, and frontal views, is useful in the evaluation of these lesions. This article reports the case of a 45-year-old white man who was diagnosed with FCOD on the basis of clinical, radiographic, biochemical and histological findings. It is of major importance to realize that all dentists have a unique opportunity as well as ethical obligation to assist in the struggle against wrong dental treatments that might save patients dental health. This case report illustrates the point that periapical radiolucencies may represent benign fibro-osseous lesions that may be overlooked or result in unnecessary endodontic treatment. Key words:Florid cemento-osseous dysplasia, florid osseous dysplasia, fibro-osseous lesions.

Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia

“…Hence, it represents an interesting choice for the antibiotic treatment of osteomyelitis of the jaw 15. Nevertheless, due to the poor tissue diffusion in FOD lesions, complicating osteomyelitis conservative treatment only with antibiotics may be insufficient, thus surgical debridement, curettage, sequestrectomy or, in more severe cases, resection may also be required (Kutluay Köklü et al;Das et al, 2013;Sadda & Phelan). In the case presented, osteomyelitis did not involve the entire FOD lesion.…”

“…In fact, biopsy should be avoided in asymptomatic lesions because of the risk of infection and fracture. The surgical removal of the lesions is also not justified since it would involve extensive intervention and FOD lesions are self-limiting (Dagistan et al, 2007;Alsufyani & Lam;Kutluay Köklü et al, 2013).…”

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].…”

Florid Cemento-Osseous dysplasia - A hidden inquest

“…When patients are asymptomatic, conventional radiographs that exhibit multiquadrant diffuse radiopaque masses typically found in the tooth bearing areas of the jaws play an essential role in arriving at an appropriate diagnosis. The radiographic appearance, though not pathognomonic, is quite characteristic and very helpful in establishing the proper diagnosis (Kutluay et al 2013). It is basically a benign fibro-osseous lesion that has to be distinguished from other similar lesions like Chronic sclerosing osteomyelitis, Fibrous dysplasia, Ossifying fibroma, and Paget's disease based on combined clinical, radiographic, and histological features , Jong-Ki et al 2013).…”

“…Florid cemento-osseous dysplasia (FCOD) was first described by Melrose et al in 1976 (Lawal et al2011). It is categorised under fibro-osseous lesions, which has more of female predilection and is commonly seen affecting the middle age group , Shah et al 2011, Kutluay et al 2013. It is a rare disease, observed to be markedly exuberant and has a striking tendency to involve all the four quadrants of the jaws symmetrically (Lawal et al2011, Rao et al 2011, Komali et al 2012).…”