Fibrous dysplasia—a 13-year retrospective radiographic analysis in a south Indian population

Abstract

Objective: The aim of this study was to examine the clinical and radiographic presentation of fibrous dysplasia through a 13-year retrospective study in patients who reported to the outpatient unit of Government Dental College, Trivandrum. Methods: The clinical file records and radiographs of the patients who reported to the outpatient clinic in the Department of Oral Medicine and Radiology were retrospectively reviewed for histopathologically diagnosed fibrous dysplasia. A detailed analysis of the clinical and radiographic features of the 24 cases retrieved was carried out. Results: The male-to-female ratio of incidence was approximately 1:1. Most of the patients were in the second or third decade of life. Almost all the patients presented with a complaint of swelling on the side of the face. The mandible was more frequently involved than the maxilla. The most common radiographic pattern observed was the ''ground-glass'' appearance. Most of the patients exhibited expansion of the involved bone and loss of lamina dura of associated teeth. Conclusion: The awareness of protean features of fibrous dysplasia evident through this study is essential in the accurate diagnosis and proper treatment planning of such lesions.

Fibrous dysplasia of the maxilla in an elderly female: Case report on a 14-year quiescent phase

“…These abnormal trabeculae and the homogenous radiodensity account for the “ground-glass” appearance in FD 32930. FD affecting the maxilla almost always involves the antrum, either by obliterating it or by gross displacement of its borders 8. The FD extension in this case was directed horizontally, but also slightly vertically.…”

“…Cases in female patients have been observed more frequently in their later decades 16. Monostotic FD of the jaws more commonly involves the maxilla than the mandible,1617 but another study has reported that the mandible was more frequently involved 8. Due to the gradual and painless nature of FD, the clinical findings are usually asymptomatic.…”

“…Although most cases of FD are self-limiting5 and hamartomatous, some cases of FD do not go into dormancy at the end of adolescence6 and may be activated or reactivated in adulthood in response to a life event, such as pregnancy 78…”

Fibrous dysplasia of the maxillofacial area: a 15-year retrospective study

“…Данные исследовали с помощью специализированного программного обеспечения, установленного как на сервер больницы («Медиалог», «Пост Модерн Текнолоджи»), и с помощью портативных программ (Amira 5. 34 [20,32]. C. A. Megerian и соавт.…”

“…В нашем исследовании преобладали кистозный (47 %) и педжетоподобный (42 %) типы. Наиболее частое выявление кистозного типа в нашем исследовании, по-видимому, объясняется детским возрастом пациентов, т. е. возрастом дебюта заболевания, так как многие авторы рассматривают кистозный тип ФД как начальную стадию заболевания [20,34,39,40].…”