Florid Cemento-Osseous Dysplasia Simultaneous the Chronic Suppurative Osteomyelitis in Mandible

Cavalcante, Mateus Barros; Lima, A. R. R.; Júnior, Marcus Antônio Brêda; Santos, Milkle Bruno Pessoa

doi:10.1097/scs.0000000000003095

Cited by 23 publications

(20 citation statements)

References 22 publications

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“…However, if an invasive procedure, such as a tooth extraction, is absolutely necessary, it must be done with caution not to cause infection of the bone. 9 10 This report describes a case of postoperative infected FCOD that became symptomatic and needed additional treatment.…”

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confidence: 99%

Recurrent symptomatic cemento-osseous dysplasia: A case report

2018

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Cemento-osseous dysplasia (COD) is a benign fibro-osseous lesion of bone, in which normal bone is replaced by fibrous tissue, followed by calcification with osseous and cementum-like tissue. COD is classified into 3 categories according to its location: periapical, focal, and florid COD (FCOD). On radiography, FCOD appears radiolucent in its early stages. As it matures, radiopacities appear within the lesion, causing them to show a mixed appearance of radiolucency and radiopacity. Because FCOD is usually asymptomatic and grows in a self-limited manner, it does not require treatment. Secondary infection is the most frequent cause of symptomatic cases. We report a case of FCOD with symptoms that appeared after a dental restoration procedure and persisted after repeated operations. The purpose of this report is to emphasize the importance of thorough radiological evaluations of patients with FCOD before treatment.

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confidence: 99%

Recurrent symptomatic cemento-osseous dysplasia: A case report

2018

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“…There are some cases of FCOD in which the patients report mild and intermittent pain in the affected area, especially after trauma or secondary infection [3,8,9,16]. In this case report, the patient has been followed up for a long period (thirteen years) and she has reported no symptoms associated with the lesion.…”

Section: Discussionmentioning

confidence: 93%

“…A challenge in the orthodontic management of patients with COD occurs when tooth extraction is indicated. This procedure can result in the exposure of poorly vascularized sclerotic cemental masses in the oral cavity, which can lead to infection and consequent secondary osteomyelitis [1,2,8]. Pulp vitality tests should be carried out along with reinforcement of oral hygiene [12].…”

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confidence: 99%

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Oral management of a patient with cemento-osseous dysplasia: a case report

Kato

Sampaio

Amaral

et al. 2019

RGO, Rev. Gaúch. Odontol.

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Florid cemento-osseous dysplasia is a subtype of fibrous-osseous lesion that commonly appears in the jaws of middle-aged black women. Clinically, the florid cemento-osseous dysplasia is asymptomatic. The radiographic aspect shows a radiolucent area with several masses of radiopaque structures, typically found in the toothbearing areas. Usually, the diagnosis is made during routine radiographic examination. The treatment is required when infection occurs due to exposure of the lesion in the oral cavity. In these severe cases, pain and facial deformity may be present. Commitment oral hygiene and routine dental visits for check-up are recommended for individuals affected. The objective of this study was to present a clinical case of a 24-year-old white woman with florid cemento-osseous dysplasia, who had been under surveillance for 13 years. Some changes in the radiographic pattern were observed as the orthodontic treatment was carried out in a private service. No tooth extraction was performed. This change is expected because florid cemento-osseous dysplasia has different radiographic aspects that correspond to the different developmental stages of the lesion. It is suggested, however, that the presence of florid cemento-osseous dysplasia did not preclude the success of the orthodontic treatment.Indexing terms: Oral pathology. Orthodontics. Radiography. RESUMOA displasia cemento-óssea florida é um subtipo de lesão fibro-óssea que geralmente aparece nos ossos gnáticos de mulheres negras de meia idade. Clinicamente a displasia cemento-óssea florida é assintomática. Os aspectos radiográficos mostram uma área radiolucente

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“…Also, in the past literature reported that hormone imbalance affects the occurrence of FCOD(14). Some cases have been reported to show a family history, but most cases appear to represent isolated instances(10,11,12). However, since gender, race, and age are important factors for the diagnosis of NPDC, they must be considered to add FCOD for differentiation when lesions are observed in middle-aged Asian women, as in this case.…”

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confidence: 91%

Florid Cemento-Osseous Dysplasia of Osteolytic Stage Showing Cyst-Like Findings on CT and MRI: A Case Report

et al. 2019

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We report our experience of florid cemento-osseous dysplasia(FCOD)showing cyst-like findings on Computed tomography (CT) and Magnetic resonance imaging (MRI), along with some literature review. A 36-year-old Japanese woman was referred to department of Oral and Maxillofacial surgery, Nihon University School of Dentistry at Matsudo for a radiolucent lesion in lower right molar area. Pantomogram showed multiple cystic lesions of the mandible. CT demonstrated the well-defined multilocular homogeneous waterdensity lesions in right molar, incisor and left molar areas. No obvious the buccolingual bone expansion and displacement of the inferior alveolar canal due to the lesions were observed. T1-weighted MRI showed low signal intensity lesions. T2-weighted MRI showed heterogeneous high signal intensity lesions. Postcontrast T1-weighted MRI showed low signal intensity lesions with peripheral contrast-enhancement like cystic lesion. These findings led to a suspicion of cystic lesions, and we performed cystectomy. Histopathologically, cellular fibrous stroma with trabecular bone and cementum-like materials were shown. There was no arrangement of osteoblasts around the bony tissue. Dilated blood vessels were also observed in the stroma. The diagnosis of FCOD was established based on the histopathological examination combined with the imaging findings. The postoperative course over two years were uneventful.

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Florid Cemento-Osseous Dysplasia Simultaneous the Chronic Suppurative Osteomyelitis in Mandible

Abstract: The aim of the present paper was to relate a clinical patient of florid cemento-osseous dysplasia simultaneous the chronic suppurative osteomyelitis, highlighting their clinical, radiographic, and histological characteristics, as well as their diagnosis and treatment.

Cited by 23 publications

References 22 publications

Recurrent symptomatic cemento-osseous dysplasia: A case report

Recurrent symptomatic cemento-osseous dysplasia: A case report

Oral management of a patient with cemento-osseous dysplasia: a case report

Florid Cemento-Osseous Dysplasia of Osteolytic Stage Showing Cyst-Like Findings on CT and MRI: A Case Report

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