Diagnostic Procedures and Prosthetic Management of Cemento-Osseous Dysplasia - A Case Report

Abstract

Cement-osseous dysplasia is an uncommon benign fibro-osseous lesion of the maxillae in which cementum tissue replaces the normal architecture of the bone. It is usually asymptomatic and discovery is incidental on routine radiological examination. Treatment is necessary if there is an infection due to exposure to the lesion in the oral cavity. In these severe cases, pain, cortical blowing, and facial deformity may be present. Thus, patients with cemento-osseous dysplasia have prosthetic bearing surfaces that are unfavorable for prosthetic rehabilitation.The management of cemento-osseous dysplasia requires a careful clinical examination to make a correct diagnosis and to develop the appropriate treatment plan. It is the duty of the practitioner to inform the patient of the limitations of prosthetic rehabilitation.The objective of this article is to review, through case report, the clinical, histological, and radiological characteristics and possible complications of this lesion and to highlight its impact on the prosthetic bearing surfaces as well as the problems inherent in the prosthetic rehabilitation.