Florid cementoosseous dysplasia complicated by chronic. Clinical, radiographic, biochemical and histological. Then, she received antibiotics to treat acute pain and suppuration. Florid osseous dysplasia coexisting with focal osseous dysplasia in. Fibroosseous lesions the term fibroosseous lesion fol is a generic designation of a group of jaw disorders characterized by the replacement of bone by a benign connective tissue matrix.
The lesions are often bilaterally and symmetrically positioned. Radiographically, fcod appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. Florid cementoosseous dysplasia fcod has been described as a condition that typically affects middleaged black women, and usually manifests as multiple radiopaque cementumlike masses distributed throughout the jaws. Lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. Other cementoosseous dysplasias defined as lesions which share some of the features of periapical cemental dysplasia andor florid cementoosseous dysplasia, but do not have their characteristic clinicopathological patterns of. Clinical, radiographic, biochemical and histological findings of florid cementoosseous dysplasia and report of a case. Florid cementoosseous dysplasia fcod is a rare, benign, fibroosseous, and multifocal dysplastic lesion of the jaw that consists of cellular fibrous connective tissue with bone and cementumlike tissue. It belongs to the spectrum of fibroosseous lesions and represents a reactive process in which normal bone is replaced by poorly cellularized cementumlike materials and cellular fibrous connective tissues lin et al.
The following case is an example of florid osseous dysplasia cementoosseous dysplasia. Cementoosseous dysplasia cod is a disease characterized by the replacement. Cementoosseous dysplasia radiology reference article. Some people develop a severe form in early childhood, and others develop a milder form in childhood or later. Schimke immunoosseous dysplasia is a condition characterized by short stature, kidney disease, and a weakened immune system. The several subtypes of osseous dysplasia are distinguished by clinical and radiological features. Florid cementoosseous dysplasia fcod has been described as a condition that characteristically affects the jaws of middleaged black women. Florid osseous dysplasia is a rare benign fibroosseous multiquadrant dysplastic lesion confined to the alveolar process. The lesions are asymptomatic, dysmorphic bone cementum complexes.
Florid cementoosseous dysplasia was first described by melrose et al. There are only four reported cases known to the authors. Cementoosseous dysplasia is a jaw disorder characterized by a reactive. Fcod is most commonly found in middleaged black women, is generally asymptomatic, and is usually detected during radiological examination. Brave mama dog asks strangers to save her babies duration. They are associated with the apices of the teeth if present. A combination of cod and os is rare and sparsely reported in literature. Original article florid osseous dysplasia coexisting with. Also called cementoosseous dysplasia, cementoma, periapical osteofibrosis most frequent form of cementoma or fibroosseous lesion of jaw, 0.
Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. Treatment of a maxillary molar in a patient presenting with florid cementoosseous dysplasia. It is clinically the most extensive form of cementoosseous dysplasia. The term florid osseous dysplasia was coined in 1976 by melrose et al.
Pdf introduction cementoosseous dysplasia is a jaw disorder characterized by a reactive process. Schimke immunoosseous dysplasia siod is a condition that results in short stature, kidney disease nephropathy, and a weakened immune system. Abnormal development or growth of tissues, organs, or cells. This matrix displays varying degrees of mineralization in the form of woven bone or of cementumlike round acellular intensely basophilic structures.
Focal osseous dysplasia definition of focal osseous. Florid cementoosseous dysplasia fcod is a benign fibroosseous lesion that primarily affects the jaws of middleaged women of african ancestry. Florid osseous dysplasia is a benign condition that usually involves multiple quadrants of the jaws. Osseous dysplasia lacks encapsulation or demarcation,but tends to merge with the adjacent cortical or medullary bone. Sarao2 1department of endodontics, wilford hall medical center, lackland air force base, san antonio, tx.
In severe cases, focal expansion may occur due to infection. It is an exuberant variant of cementoosseous dysplasia normally seen in multiple quadrants of the jaws. A 30yearold woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. Florid osseous dysplasia fod is an osseous dysplasia rarely presenting in the jaws. This lesion is most commonly found in middleaged black women, although it may also occur in. Florid osseous dysplasia fod, which was first described by melrose in 1976, is a rare benign lesion. Fcod refers to a set of radiolucentradiopaque periapical and interradicular lesions involving the mandible bilaterally and sometimes the maxilla. Florid cementoosseous dysplasia consists of selflimiting lesions involving alveolar processes. A surgical therapy was selected with removal of bone. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous dysplasia african descent. This lesion may be completely asymptomatic and in such cases the lesion is detected incidentally in radiographs. The aim of this paper is to report additional cases of cod occurring concurrently. Florid cementoosseous dysplasia may be familial with an autosomal dominant inheritance pattern, but there are only a few examples in the literature in which the familial pattern has been confirmed 1,3.
Florid cemento osseous dysplasia in association with dentigerous cyst. However, the world health organizations most recent tumor classification says that periapical cementoosseous dysplasia is. The florid cementoosseous dysplasia fcod is a category of cemento. For this authors, periapical cementoosseous dysplasia or focal cementoosseous dysplasia are two different terms for the same reactive lesion. This condition has been interpreted as a dysplastic lesion or developmental anomaly arising in toothbearing areas. Pdf management of symptomatic florid cementoosseous. It appears to be a widespread form of periapical cemental dysplasia pcd. Goncalves m, ronaldo p, alves fa, blugao cb, gonalves a. A case report article pdf available in brazilian dental journal 204. In the present case no familial aspects of the disease could be established. Cementoosseous dysplasia cod represents a rare group of benign fibroosseous disorders, while osteogenic sarcoma os on the hand, is a malignant tumour of ominous prognosis. Short stature is due to spondyloepiphyseal dysplasia, which involves abnormal development of the spine and the ends of the. Cementoosseous dysplasia of the jaw bones tspace university. Misdiagnosis of florid cementoosseous dysplasia leading.
Familial florid cementoosseous dysplasia is a very uncommon condition. The term florid is used because of its widespread and extensive manifestation. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. Diffuse sclerosing osteomyelitis and florid osseous dysplasia.
Florid cementoosseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed. Cementoosseous dysplasia cod is a benign condition affecting the jaw that may arise from the fibroblasts of the periodontal ligaments. Osseous dysplasia definition of osseous dysplasia by the. Dog rescue shelter mladenovac, serbia recommended for you.
Fibroosseous lesions of the jaws include fibrous dysplasia, ossifying fibroma, and cementoosseous dysplasia cod. Several root canals were completed by her dentist 4 years ago. Florid osseous dysplasia definition of florid osseous. Management of symptomatic florid cementoosseous dysplasia. Clinical symptoms may occur due to secondary infection of exposed masses or may be due to mucosal irritation under prostheses. Florid cementoosseous dysplasia how is florid cemento. Pdf florid cementoosseous dysplasia at the site of. Cementoosseous dysplasia, florid osseous dysplasia, focal osseous dysplasia introduction florid cementoosseous dysplasia flcod is a benign lesion affecting the jaws and was first reported by melrose et al. Florid osseous dysplasia fod is a very rare fibroosseous condition presenting in the jaws. In people with this condition, short stature is caused by flattened spinal bones vertebrae, resulting in a shortened neck and trunk. Periapical osseous dysplasia occurs in the anterior mandible and involves only a. This case illustrates the radiological appearance of a classic case of florid osseous dysplasia fod. Cod occurs in the toothbearing areas of the jaws and is probably the most common fibroosseous lesion encountered in clinical practice.
Florid cementoosseous dysplasia is a condition of the bone which is rare and usually affects jaw bones. Till today, nearly 2% cases have been reported in the indians according to current literature 2. Concurrent cementoosseous dysplasia and osteogenic. Florid osseous dysplasia fod is a benign condition of the jaws in which the normal architecture of bone is replaced by a fibrous tissue containing a.
People with fcod develop lesions in the jaw, were spots of normal bone are replaced with a mix of connective tissue and abnormal bone. Florid osseous dysplasia is a central lesion of the bone and periodontium, which has caused considerable controversy because of confusion regarding terminology and criteria for diagnosis. Based on all the above information, a diagnosis of florid cementoosseous dysplasia fcod was made. N2 in 1986, a 60yearold african american woman visited the marquette university school of dentistry with a complaint of a vague, dull pain in her lower left quadrant. Florid cementoosseous dysplasia may also be confused. The lesions are often found in equal numbers and size on both sides of the jaw.
494 652 69 1157 935 621 349 1639 794 1592 1005 573 24 943 413 130 474 422 107 881 2 1299 86 1390 1483 139 661 62 839 1082 1161 970 23 1081