Florid cemento osseous dysplasia in association with dentigerous cyst
Department of Oral Pathology and Microbiology, Vydehi Institute of Dental Sciences and Research Center, #82, EPIP Area, Nallurahalli, Whitefield, Bangalore - 560 066, Karnataka, India.Journal of Oral and Maxillofacial Pathology 07/2010; 14(2):63-8. DOI: 10.4103/0973-029X.72503
We present a case of florid cemento-osseous dysplasia occurring in a 20-year-old Indian woman. The subject presented with three lesions involving the maxillary right quadrant, maxillary left quadrant and mandibular left quadrant. The mandibular left quadrant also demonstrated a cyst.The diagnosis was made by correlating the clinical presentation with that of the radiological and histopathological findings. This is a rare entity because of an unusual combination of Asian race along with the association of dentigerous cyst.
[Show abstract] [Hide abstract]
- "Differential diagnosis of FCOD must be made with Paget's disease of bone, chronic diffuse osteomyelitis, Gardner's syndrome, familial gigantiform cementoma [5,9]. FCOD is not seen with skin tumours, dental anomalies and skeletal changes like Gardner's Syndrome . "
ABSTRACT: Florid cemento-osseous dysplasia (FCOD) is a benign jaw lesion originating from periodontal ligament tissues usually asymptomatic and diagnosed accidentally at routine dental radiographic examination. The purpose of this paper is to report three cases diagnosed as FCOD with their clinical, radiographic and histological findings. Radiologic and clinical symptoms of three cases diagnosed as FCOD are presented. Serum alkaline phosphatase test and biopsy taken from two of the patients are discussed to eliminate the Paget's disease. Three patients diagnosed as FCOD and called for routine follow-up. Because of no sign of infection or osteomyelitis, conservative treatment was applied. Radiographic examination is significant for the diagnosis of florid cemento-osseous dysplasia, especially in the asymptomatic cases. The roles of the dentist are to ensure the follow-up of the diagnosed patients and to take the necessary measures for preventing from the infections.
- [Show abstract] [Hide abstract]
ABSTRACT: Florid cemento-osseous dysplasia (FCOD) is a benign fibro-osseous lesion that primarily affects the jaws of middle-aged women of African ancestry. This lesion may be completely asymptomatic and in such cases the lesion is detected incidentally in radiographs. Clinical symptoms may occur due to secondary infection of exposed masses or may be due to mucosal irritation under prostheses. Radiographic features of these lesions pass from initially radiolucent (osteolytic stage), then develop into mixed radiolucent/radiopaque lesions (intermediate or cementoblastic stage) before becoming radiopaque masses (osteosclerotic or inactive phase) usually located in multiple quadrants of the jaws. Occurrence of FCOD with chronic suppurative osteomyelitis is rare. In this article a case of FCOD is reported which had evidence of infection as the first presentation. A 52-year-old Indian female patient was initially diagnosed as having chronic suppurative osteomyelitis based on clinical findings but later diagnosed with FCOD after radiological examination of a digital orthopantomogram. Histopathological findings revealed formation of calcified dense sclerotic masses of cementum suggestive of the diagnosis of FCOD. The patient was managed by periodical debridement of the area which had undergone osteomyelitic changes and with oral clindamycin 300 mg. This case emphasizes that the diagnosis of FCOD can be done on radiographic features alone. Early radiological investigations should be carried out to prevent complications in FCOD patients.
- [Show abstract] [Hide abstract]
ABSTRACT: Tender swellings of the mandible are majorly due to inflammatory lesions like infected dental cyst, peri-apical abscess or neoplasms like osteoblastomas, cementoblastomas, osteosarcoma and intraosseous squamous cell carcinoma. Florid cemento-osseous dysplasia is a subgroup of cemento-osseous dysplasia typically found in middle-aged black women as multiple, non-tender, diffuse, lobulated radio-opacities distributed throughout the maxilla and mandible, which are usually bilaterally symmetrical. Histologically, they are composed of proliferating fibrous connective tissue stroma containing foci of cementum, osteoid and bone. Florid cemento-osseous dysplasia is rare in Indian population and among all cases of florid cemento-osseous dysplasia, almost 97% of the cases reported till date are in females. The present case describes florid cemento-osseous dysplasia in a 26-year-old male who reported with pain in the left mandibular premolar region.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.