Sensory disturbance along the inferior alveolar nerve as a first clinical sign of multiple florid cemento-osseous dysplasia of the mandible—A case report

Grün, Pascal; Bandura, Patrick; Grün, Andrew; Sutter, Walter; Meller, Oliver; Turhani, Dritan

doi:10.1016/j.ijscr.2018.11.036

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…Nas análises histopatológicas a DCOF se assemelha bastantes às demais displasias ósseas, sendo o exame radiográfico o indicador mais preciso da hipótese diagnóstica de DCOF 17 . Essa displasia apresenta aspectos de diagnóstico semelhante a lesões como a doença óssea de Paget, fibroma cemento-ósseo, osteomelite crônica esclerosante difusa (OCED) e a displasia fibrosa 8,18 .…”

Section: Relato De Caso Clínicounclassified

Displasia cemento-óssea florida: relato de três casos clínicos envolvendo ambos os maxilares

Mascarenhas,

Jesus,

Torreão

et al. 2024

J Multidiscip Dent

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O objetivo do presente artigo foi relatar três casos de aspectos clínicos exuberantes da displasia óssea florida, bem como as várias etapas de abordagens cirúrgicas atreladas a literatura. A displasia cemento-óssea florida é uma patologia incomum, benigna, que pode acometer os ossos gnáticos bilateralmente, sendo mais prevalente em mulheres negras de meia idade, sua etiopatogenia ainda é bastante controversa. Na maioria dos casos relatados, se apresenta de forma assintomática, exibindo sintomas apenas quando envolvidas em outras infecções secundarias. O estabelecimento do seu diagnóstico envolve a coleta dos dados sóciodemográficos e o exame radiográfico com identificação de lojas ósseas múltiplas com alterações mistas de radiopacidade.

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Section: Relato De Caso Clínicounclassified

Displasia cemento-óssea florida: relato de três casos clínicos envolvendo ambos os maxilares

Mascarenhas,

Jesus,

Torreão

et al. 2024

J Multidiscip Dent

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“…The reduced sensitivity in the terminal branches of the mandibular nerve is unusual in connection with an FD in the bone surrounding the nerve. Rather, this finding should be regarded as a sign of malignant neoplasm if no local findings can adequately explain other causes of this symptom (98)(99)(100)(101)(102).…”

Section: Radiology Of Mandibular Fibrous Dysplasia A: Panoramic Viewmentioning

confidence: 99%

Symptomatic Mandibular Fibrous Dysplasia With Concurrent Triple X- and Premutation Stage Fragile-X-Syndrome: Case Report With Short Literature Survey

2019

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Background: Certain constitutive chromosomal abnormalities of the human X chromosome are relatively common in conspicuous neuropsychiatric findings. Although tumors or tumor-like lesions are occasionally reported in diseases of the X chromosome, they are numerically negligible, for example, in aneuploidy such as the triple X syndrome (TXS). Case Report: A 16-year-old female patient with a known TXS and premutation stage of fragile X syndrome was referred by her dentist for diagnosis and treatment of unilateral cheek swelling. The examination of the psychologically conspicuous patient revealed a unilateral mandibular tumor with dysesthesia of the mental nerve. Surgical removal of soft, crumbly spongiosa over the nerve canal resulted in sufficient pressure release of the constricted nerve and restoration of epicritic sensitivity. Imaging findings and histological and molecular genetic examination revealed monostotic craniofacial fibrous dysplasia. Conclusion: Although the data in the literature do not give reason to suppose an accumulation of neoplasms in TXS, a numb chin syndrome should be a reason for detailed diagnostics. Careful diagnosis allows for customized therapy. This is the first report on the coincidence of TXS, fragile X syndrome, and fibrous dysplasia in a single individual.

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“…COD is usually asymptomatic in the early stages and may be misdiagnosed as periapical periodontitis and treated with root canal therapy [ 3 , 4 ]. However, such treatment is not effective due to the presence of sclerotic bone around the tooth root [ 5 ]. COD can cause tooth pain, tooth looseness, poor healing after tooth extraction, and osteomyelitis [ 6 ]. COD generally leads to tooth loss, osteomyelitis, and osteonecrosis, affecting oral function and facial appearance and affecting whether dental implantation can be carried out due to the presence of sclerotic bone [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Cemento-Osseous Dysplasia: A Detailed Comparison of the 2005 and 2017 WHO Classifications and Case Analysis

Zhang,

Yu,

Tang

et al. 2023

Cureus

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The WHO substantially redefined cemento-osseous dysplasia (COD) in 2017. The descriptions of COD in the 2005 and 2017 WHO classifications are quite different. In this study, we compared the difference in COD description between the 2005 and 2017 editions of the WHO classifications in detail. There are remarkable differences in the terminology, definition, synonyms, epidemiology, classifications, clinical features, radiation/pathology, prognosis, and predictive factors of COD between the two versions. At present, the surgical treatment of COD is less defined, and there is no clear guidance for the treatment of sclerotic bone. In this study, we extracted the affected teeth without removing the sclerotic bone when the bone absorption line can be only found between the root and the lesion, and we extracted the teeth as well as the lesion and curetted the granulation tissue when a bone absorption line could be seen between the lesion and the alveolar bone. According to our observation, the position of the bone absorption line can be used as a reference for the selection of sclerotic bone treatment. Sclerotic bone preservation did not increase its volume and density after tooth extraction. Sclerotic bone was composed of highly mineralized tissue with less blood vessels and cells. The position of the bone resorption line can be used as a basis for treatment selection. The high mineralization of the lesion may weaken its anti-infection ability.

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Sensory disturbance along the inferior alveolar nerve as a first clinical sign of multiple florid cemento-osseous dysplasia of the mandible—A case report

Cited by 7 publications

References 14 publications

Displasia cemento-óssea florida: relato de três casos clínicos envolvendo ambos os maxilares

Displasia cemento-óssea florida: relato de três casos clínicos envolvendo ambos os maxilares

Symptomatic Mandibular Fibrous Dysplasia With Concurrent Triple X- and Premutation Stage Fragile-X-Syndrome: Case Report With Short Literature Survey

Cemento-Osseous Dysplasia: A Detailed Comparison of the 2005 and 2017 WHO Classifications and Case Analysis

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