Surgical management of syndromic versus non-syndromic craniofacial fibrous dysplasia: a systematic review and meta-analysis

Carbonare, Marco Dalle; Manisali, M.

doi:10.1016/j.bjoms.2022.06.002

Cited by 8 publications

(7 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As many patients are asymptomatic and are discovered incidentally after oral radiography imaging, determining the incidence of FD is difficult [ 8 ]. However, the maxilla is the most usually affected bone in the craniofacial area, followed by the mandible and the frontal bone [ 9 , 10 ]. The majority of the lesions are unilateral and occur in the posterior region of the maxilla and mandible [ 7 , 11 ].…”

Section: Epidemiology and Clinical Appearancementioning

confidence: 99%

“…In 1990, Chen and Noordhoff developed an approach for the therapy of FD in different craniofacial zones [ 9 , 57 ]. They advised conservative treatment and not to excise the teeth-bearing areas of the maxilla and the mandible, which is Zone 4 according to their classification; though in cases of overgrowth of the maxilla, it may be necessary to perform total excision and reconstruction with bone grafts [ 57 ].…”

Section: Treatment Optionsmentioning

confidence: 99%

“…Treatment modalities of FD of the jaw range from watchful waiting to minimal or extensive surgery depending on the progression of the disease [ 9 ]. Early studies recommend extensive surgery and immediate reconstruction of FD in the maxilla and the mandible because no recurrence is expected [ 58 ].…”

Section: Treatment Optionsmentioning

confidence: 99%

“…Early studies recommend extensive surgery and immediate reconstruction of FD in the maxilla and the mandible because no recurrence is expected [ 58 ]. Nevertheless, the surgery should be performed when skeletal maturity has been achieved, and the lesion has reached a static phase [ 9 , 30 , 59 , 60 ].…”

Section: Treatment Optionsmentioning

confidence: 99%

“…One disadvantage of minimal surgical treatment through bone shaving is the higher recurrence rate [ 58 ]. In terms of surgical procedures, minimal surgery with shaving or debulking is nowadays carried out more often than radical resections [ 9 ].…”

Section: Treatment Optionsmentioning

confidence: 99%

See 4 more Smart Citations

Fibrous Dysplasia of the Jaw: Advances in Imaging and Treatment

Obermeier

Hartung

Hildebrandt

et al. 2023

JCM

View full text Add to dashboard Cite

A total of 7% of all benign bone lesions are diagnosed as fibrous dysplasia (FD). The symptoms of FD of the jaw range from asymptomatic to dental anomalies, pain and facial asymmetry. Due to its resemblance to other fibro-osseous bone lesions, misdiagnosis often occurs and can lead to inadequate treatment. Particularly in the jaw, this lesion does not become quiescent during puberty, making fundamental knowledge about the diagnosis and treatment of FD crucial. Mutational analysis and nonsurgical approaches offer new diagnostic and therapeutic options. In this review, we examine the advances and the difficulties of the diagnosis and the various treatment modalities of FD of the jaw in order to capture the current scientific knowledge on this bone disease.

show abstract

Section: Epidemiology and Clinical Appearancementioning

confidence: 99%

Section: Treatment Optionsmentioning

confidence: 99%

Section: Treatment Optionsmentioning

confidence: 99%

Section: Treatment Optionsmentioning

confidence: 99%

Section: Treatment Optionsmentioning

confidence: 99%

See 3 more Smart Citations

Fibrous Dysplasia of the Jaw: Advances in Imaging and Treatment

Obermeier

Hartung

Hildebrandt

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

Management of post‐implant fibrous dysplasia in the maxilla: A case study

Amrou,

Koleilat,

Alrmali

et al. 2024

Clin Adv Periodontics

View full text Add to dashboard Cite

BackgroundFibrous dysplasia is generally rare, and even rarer in older adults. Special care is needed when altering the alveolar bone in these cases, especially if an implant is involved. This case study highlights such a scenario.MethodsThis case study details the experience of a 63‐year‐old African American female who presented with a bump on her jaw, ultimately leading to a diagnosis of fibrous dysplasia. The patient underwent surgery for osseous recontouring to address the bone overgrowth associated with the condition.ResultsThe study documents the successful surgical recontouring of a fibrous dysplasia lesion in the upper right maxilla that developed 5 years after dental implant placement. Additionally, it highlights the preservation of peri‐implant hard and soft tissues over a 6‐month follow‐up period post‐surgery, ensuring proper tissue healing and bone shaping for optimal patient outcomes.ConclusionThe successful surgical recontouring of fibrous dysplasia in the upper right maxilla, along with the preservation of peri‐implant hard and soft tissues, underscores the potential for effective oral rehabilitation in similar cases involving dental implants.Plain Language SummaryIn this study, we managed a rare bone disorder called fibrous dysplasia in a 63‐year‐old woman, 5 years after she had dental implants in her upper jaw. This condition leads to bone overgrowth and deformities, making oral rehabilitation challenging. The patient presented with a bump in her upper jaw, which was diagnosed through various tests. We performed surgery to reshape the overgrown bone while preserving her dental implants and surrounding tissues. The surgery was successful, and 6 months later, the implants remained stable with no signs of recurring issues.Key pointsWhy is this case new information?This case is rare because it presents a successful management strategy for fibrous dysplasia in the maxilla with dental implants, a combination that is both uncommon and challenging.What are the keys to the successful management of this case?Successful management relies on accurate diagnosis, careful surgical recontouring to preserve peri‐implant bone while providing a maintainable environment for the patient, and thorough postoperative care to ensure healing and stability.What are the primary limitations to success in this case?Primary limitations include the risk of implant compromise, potential recurrence of fibrous dysplasia, and challenges related to bone quality and healing, particularly in an older patient.

show abstract