A case report article pdf available in brazilian dental journal 204. In severe cases, focal expansion may occur due to infection. Florid cementoosseous dysplasia complicated by chronic. Focal osseous dysplasia definition of focal osseous. It is clinically the most extensive form of cementoosseous dysplasia. Lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. Pdf introduction cementoosseous dysplasia is a jaw disorder characterized by a reactive process. This case illustrates the radiological appearance of a classic case of florid osseous dysplasia fod.
Florid osseous dysplasia fod is a very rare fibroosseous condition presenting in the jaws. Florid cemento osseous dysplasia in association with dentigerous cyst. The following case is an example of florid osseous dysplasia cementoosseous dysplasia. Florid osseous dysplasia is a rare benign fibroosseous multiquadrant dysplastic lesion confined to the alveolar process. 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. 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. 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. Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments.
Also called cementoosseous dysplasia, cementoma, periapical osteofibrosis most frequent form of cementoma or fibroosseous lesion of jaw, 0. Florid cementoosseous dysplasia consists of selflimiting lesions involving alveolar processes. The aim of this paper is to report additional cases of cod occurring concurrently. Fibroosseous lesions of the jaws include fibrous dysplasia, ossifying fibroma, and cementoosseous dysplasia cod. Abnormal development or growth of tissues, organs, or cells. Some people develop a severe form in early childhood, and others develop a milder form in childhood or later. Florid cementoosseous dysplasia is a condition of the bone which is rare and usually affects jaw bones. Familial florid cementoosseous dysplasia is a very uncommon condition. However, the world health organizations most recent tumor classification says that periapical cementoosseous dysplasia is. The lesions are asymptomatic, dysmorphic bone cementum complexes. Florid osseous dysplasia fod is the most dramatic and rare variant of the cementoosseous lesions in which the normal cancellous bone is replaced by dense, acellular cementoosseous tissue in a background of fibrous connective tissue. Misdiagnosis of florid cementoosseous dysplasia leading. Florid cementoosseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed.
Florid cementoosseous dysplasia may also be confused. 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. A surgical therapy was selected with removal of bone. 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 coexisting with focal osseous dysplasia in. Schimke immunoosseous dysplasia is a condition characterized by short stature, kidney disease, and a weakened immune system. Goncalves m, ronaldo p, alves fa, blugao cb, gonalves a. Florid cementoosseous dysplasia was first described by melrose et al. They are associated with the apices of the teeth if present.
Based on all the above information, a diagnosis of florid cementoosseous dysplasia fcod was made. Till today, nearly 2% cases have been reported in the indians according to current literature 2. Short stature is due to spondyloepiphyseal dysplasia, which involves abnormal development of the spine and the ends of the. 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. 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. These lesions exhibit a sclerotic appearance similar to that of other lesions on conventional radiographs.
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. Several root canals were completed by her dentist 4 years ago. The lesions are often bilaterally and symmetrically positioned. Periapical osseous dysplasia occurs in the anterior mandible and involves only a. Brave mama dog asks strangers to save her babies duration. A 30yearold woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. The term florid is used because of its widespread and extensive manifestation. The etiology of this lesion of the jaw is unknown,, but it appears to represent reactive or dysplastic processes originating from elements of the periodontal ligaments. Clinical, radiographic, biochemical and histological. 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. Cod occurs in the toothbearing areas of the jaws and is probably the most common fibroosseous lesion encountered in clinical practice. Radiographically, fcod appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. The lesions are often found in equal numbers and size on both sides of the jaw. Pdf florid cementoosseous dysplasia at the site of.
Concurrent cementoosseous dysplasia and osteogenic. Florid cementoosseous dysplasia how is florid cemento. Clinical symptoms may occur due to secondary infection of exposed masses or may be due to mucosal irritation under prostheses. Cementoosseous dysplasia cod is a benign condition affecting the jaw that may arise from the fibroblasts of the periodontal ligaments. Cementoosseous dysplasia radiology reference article. The term florid osseous dysplasia was coined in 1976 by melrose et al. Pdf management of symptomatic florid cementoosseous. Original article florid osseous dysplasia coexisting with. Florid cementoosseous dysplasia fcod is a benign fibroosseous lesion that primarily affects the jaws of middleaged women of african ancestry. Dog rescue shelter mladenovac, serbia recommended for you. Schimke immunoosseous dysplasia siod is a condition that results in short stature, kidney disease nephropathy, and a weakened immune system. It is an exuberant variant of cementoosseous dysplasia normally seen in multiple quadrants of the jaws. Florid cementoosseous dysplasia and osteomyelitis for treatment purposes, the patient underwent hemato logical exams. In the present case no familial aspects of the disease could be established.
This condition has been interpreted as a dysplastic lesion or developmental anomaly arising in toothbearing areas. 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. Florid osseous dysplasia definition of florid osseous. Florid osseous dysplasia fod, which was first described by melrose in 1976, is a rare benign lesion. 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. The florid cementoosseous dysplasia fcod is a category of cemento. The several subtypes of osseous dysplasia are distinguished by clinical and radiological features. Management of symptomatic florid cementoosseous dysplasia. This lesion may be completely asymptomatic and in such cases the lesion is detected incidentally in radiographs. For this authors, periapical cementoosseous dysplasia or focal cementoosseous dysplasia are two different terms for the same reactive lesion. There are only four reported cases known to the authors. Cementoosseous dysplasia of the jaw bones tspace university.
Osseous dysplasia definition of osseous dysplasia by the. Cementoosseous dysplasia cod is a disease characterized by the replacement. Diffuse sclerosing osteomyelitis and florid osseous dysplasia. Clinical, radiographic, biochemical and histological findings of florid cementoosseous dysplasia and report of a case. Then, she received antibiotics to treat acute pain and suppuration. This matrix displays varying degrees of mineralization in the form of woven bone or of cementumlike round acellular intensely basophilic structures. In people with this condition, short stature is caused by flattened spinal bones vertebrae, resulting in a shortened neck and trunk. Treatment of a maxillary molar in a patient presenting with florid cementoosseous dysplasia. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous dysplasia african descent. Florid osseous dysplasia fod is an osseous dysplasia rarely presenting in the jaws. It appears to be a widespread form of periapical cemental dysplasia pcd. A combination of cod and os is rare and sparsely reported in literature.
This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. 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. This lesion is most commonly found in middleaged black women, although it may also occur in. Sarao2 1department of endodontics, wilford hall medical center, lackland air force base, san antonio, tx. Florid osseous dysplasia is a benign condition that usually involves multiple quadrants of the jaws.
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