Florid osseous dysplasia

Abstract

The concept of ‘fibro-osseous lesions’ of bone has evolved over the last several decades and now includes two major entities, viz., fibrous dysplasia and ossifying fibroma, as well as other less common entities such as periapical dysplasia, focal osseous dysplasia, florid osseous dysplasia and familial gigantiform cementoma. Florid osseous dysplasia is a central lesion of the bone and periodontium, which has caused considerable controversy because of confusion regarding terminology and criteria for diagnosis. This paper reports a rare case of florid osseous dysplasia affecting maxilla and mandible bilaterally in a 14-year-old Indian male patient.

Florid cemento-osseous dysplasia

“…Similar lesions were found in oriental population and Caucasian females with identical age groups but a definite female predilection of the condition has not been explained. [89]…”

“…The overall behavior of FGC is more akin to benign neoplasia necessitating surgical intervention, which is otherwise contraindicated for the asymptomatic FCOD. [9]…”

“…[8–10] Cemento-ossifying fibroma exhibits more buccolingual expansion than the FCOD whereas chronic diffuse sclerosing osteomyelitis are generally unilateral with soft-tissue swelling, fever and lymphadenopathy affecting primarily mandible with cyclic episodes of pain and is not always limited to the tooth bearing areas. [89] Sometimes it may be the complication of FCOD. [8] Unlike Gardener's syndrome, FCOD does not present other skeletal changes, no skin tumors or dental anomalies whereas Paget's disease affects mostly white males and is more of polyostotic with pathognomonic increase in serum alkaline phosphatase level.…”

“…[8] Unlike Gardener's syndrome, FCOD does not present other skeletal changes, no skin tumors or dental anomalies whereas Paget's disease affects mostly white males and is more of polyostotic with pathognomonic increase in serum alkaline phosphatase level. [910] Osteoblastoma causes more expansion of bony plates and have radiolucent rim.…”

“…The antibiotics are usually not effective due to poor tissue diffusion. [89] Asymptomatic patients of FCOD generally do not require any treatment and should be kept under observation, and regular radiological follow-up. [8–10] Hence, we decided to abstain from surgical intervention and have kept the patient under regular clinico-radiological follow-up.…”