Success of Dental Implant Osseointegration in a Florid Cemento-Osseous Dysplasia: A Case Report with 8-Year Follow-Up

Abstract

Florid cemento-osseous dysplasia (FCOD) is a rare benign fibro-osseous lesion which affects multiple quadrants and predominantly the mandible. This case report presents a successful implant placement with 8-year of follow-up in a 44-yearold woman asking for a fixed restoration in mandibular right posterior edentulous area. Radiographic images showed lobular, irregularly shaped radiopacities and radiolucencies almost symmetrically observed in the premolar-molar area of the right and left regions of the mandible. The findings of Xray images were attributable to FCOD. Minimally invasive two-stage surgery with strict infection control was followed to place two implants in lower right posterior region. The implants demonstrated clinically rigid fixation and restored successfully after 6 months. A direct functional connection between dysplastic bone and the implant load bearing surface was evidenced by the lack of symptoms, and the lack of soft tissues inflammation or peri-implant bone loss up to 8 years follow-up.

Impant placement on a Focal Cemento-Osseous Dysplasia : A modified protocol with a successful outcome.

“…This was acheived by prescribing prophylactic antibiotic (amoxicillin/clavulanic acid 500 mg/125 mg) 1 h before surgery and chlorhexidine mouthwash preoperatively and postoperatively, by ensuring sterile environment during the procedure, minimizing periosteal reflection, making the procedure as short as possible, and avoiding overheating of the bone using cool sterile saline and sharp drills. No complications have occured after an 8-year follow-up (12).…”

Implant placement in a focal cemento‐osseous dysplasia: A modified protocol with a successful outcome

“…This was achieved by prescribing prophylactic antibiotic (amoxicillin/clavulanic acid 500 mg/125 mg) 1 h before surgery and chlorhexidine mouthwash preoperatively and postoperatively, by ensuring sterile environment during the procedure, minimizing periosteal reflection, making the procedure as short as possible, and avoiding overheating of the bone using cool sterile saline and sharp drills. No complications have occurred after an 8‐year follow‐up 12 …”

Implant Placement in a Cemento-Osseous Dysplasia: A case report

“…In 6 publications dealing with 6 cases, the implants were placed within or outside the lesion; [11,12,15,[17][18][19] only 3 cases among the 6 described were successfully integrated. [12,18,19] Gerlach et al [15] described implant failures in a FLCOD, but the mandible was also affected by a cemento-ossifying fibroma (COF).…”

“…In 6 publications dealing with 6 cases, the implants were placed within or outside the lesion; [11,12,15,[17][18][19] only 3 cases among the 6 described were successfully integrated. [12,18,19] Gerlach et al [15] described implant failures in a FLCOD, but the mandible was also affected by a cemento-ossifying fibroma (COF). Oliveira et al, [17] as well as Shin et al, [11] have also reported cases of implants failures in FLCOD manifested by the loose implant, swelling, and pain.…”

“…A most recent publication has also reported the success of implant osseointegration in FLCOD. [18] 4. CONCLUSION PCOD is a rather common asymptomatic bone lesion characterized by abnormal bone quality.…”