Successful Implant Placement in a Case of Florid Cemento-Osseous Dysplasia: A Case Report and Literature Review

Abstract

Florid cemento-osseus dysplasia (FCOD) has been described as a reactive process in which normal bone is replaced by fibrous connective tissues and cementum-like materials. Radiographically it appears as dense, lobulated masses, often occurring bilaterally with symmetric involvement. In this case report, a successful implant placement has been reported in a 62-year-old Caucasian woman with a chief complaint of mandibular partial edentulous. Radiographic images showed the bilateral radiopaque lesions in edentulous regions of mandible, and mandibular anterior teeth alike. All mandibular teeth were vital and no root resorption was detected. The findings of X-ray images were attributable to FCOD. A highly conservative step-by-step 2-stage implant surgery was performed. After 6 months the implants loaded with fixed prosthesis. 2, 4, 6, 12, and 18 months after the surgery radiographic images were taken, which revealed an optimal functional rehabilitation and complete integration of implants. This report confirms that treating the edentulous area near the FCOD lesions could be planned, if conservative step- by-step implant placement been considered. To the best of our knowledge, a case of FCOD with successful implant placement has not been reported previously. More studies in more patients are needed to confirm results of such a therapeutic modality.

Recurrent symptomatic cemento-osseous dysplasia: A case report

“…The radiological presentation of the lesions varies depending on their stage of maturation. 1 17 18 Moreover, as in this case, various stages of FCOD can appear simultaneously in a single patient.…”

“… 25 26 Several cases have reported successful and failed implantation in patients with FCOD and other fibro-osseous lesions. 18 27 28 The quality of the alveolar bone is an important factor in the decision to perform implantation and in its success rate. If implants are needed at the site of the lesion, regions with higher radiopacity should be avoided, because the hypovascularity of such regions makes them more susceptible to infections that could cause implant failure.…”

“…If implants are needed at the site of the lesion, regions with higher radiopacity should be avoided, because the hypovascularity of such regions makes them more susceptible to infections that could cause implant failure. 18 28 …”

Displasia cemento-óssea florida: relato de dois casos tratados por diferentes abordagens

“…Observa-se que, em ambos os casos descritos, houve um padrão simétrico das lesões em maxila e/ou mandíbula. Apesar de poder se manifestar simultaneamente em maxila e mandíbula, a DCOF apresenta predileção pela mandíbula, com simetria na distribuição das lesões 12,13 .…”

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

“… 3 It involves the replacement of normal bone architecture by fibroblasts and collagen fibers containing different quantities of mineralized material. 4 Depending upon its duration, the radiographic appearance may vary, however it may appear firstly as a radiolucent lesion that becomes progressively radiopaque with the deposition of immature bone. The lesion has compromised bone structure characterized with incomplete stromal vasculature that predisposes the affected bone to secondary infection.…”