Since a radiographic examination by her dentist showed radiopacity in the left side of the maxilla, she was referred to the department of dentistry and oral surgery. The lesions are often found in equal numbers and size on both sides of the jaw. Florid cementoosseous dysplasia fcod is a rare bone lesion that predominantly involves the womens jaws in middle age. 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 presentation. Misdiagnosis of florid cementoosseous dysplasia leading to. Cemento osseous dysplasia is a condition that results in the formation of calcified lesions in the jaws and teeth. Cementoosseous dysplasia medical condition youtube. Periapical cementoosseous dysplasia has been previously referred to as cementoma, periapical cementoma, periapical cemental dysplasia, and periapical fibrous dysplasia. Periapical cementoosseous dysplasia is asymptomatic, detected radiographically and usually requires no treatment.
Cooccurence of florid cementoosseous dysplasia and. The search terms cementoma and osseous dysplasia were the most effective for both databases. Cod occurs in the toothbearing areas of the jaws and is probably the most common fibroosseous lesion encountered in clinical practice. Osseous dysplasias are a group of disorders known to originate in the periodontal ligament tissues. Focal osseous dysplasia fod is one of the benign fibroosseous lesions of the jaw bones and the most commonly occuring benign fibroosseous lesion. These lesions are most commonly seen in middleaged. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree.
Also called cementoosseous dysplasia, cementoma, periapical osteofibrosis most frequent form of cementoma or fibroosseous lesion of jaw, 0. Based on all the above information, a diagnosis of florid cemento osseous dysplasia fcod was made. Focal osseous dysplasia fod is one of the benign fibro osseous lesions of the jaw bones and the most commonly occuring benign fibro osseous lesion. Florid cemento osseous dysplasia is a benign bone reactive process and represents a type of fibro osseous lesion, in which normal bone is replaced by fibrous connective tissues. Like pcod, most cases of focal cod occur in middleaged women, but more frequently in whites. Cherubism familial multilocular cystic disease of the jaws d. Any aras of the jaws, but mainly in posterior mandible. Jan 17, 2015 management of florid cementoosseous dysplasia fcod florid cementoosseous dysplasia fcod is defined as a benign fibroosseous lesion. A 65yearold systemically healthy female attended to us to replace. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous dysplasia african descent. Cemento osseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. Florid cemento osseous dysplasia consists of selflimiting lesions involving alveolar processes.
Fibro osseous lesions classifications, pathophysiology and. Florid cementoosseous dysplasia was first described by melrose et al. Cemento osseous dysplasia cod is the most common osseous fibrous lesion, which involves replacement of the normal bone with a poorly cellularized cementum like material and cellular fibrous connective tissue. 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. Florid cemento osseous dysplasia florid cod shows multifocal involvement. Cod occurs in the toothbearing areas of the jaws and is probably the most common fibro osseous lesion encountered in clinical practice. Fcod refers to a set of radiolucentradiopaque periapical and interradicular lesions involving the mandible bilaterally and sometimes the maxilla. Pdf florid cementoosseous dysplasia at the site of previous. Florid cementoosseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to jaws. Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments.
The lesions are most frequently seen in middleaged black women and show a marked tendency for bilateral and symmetric involvement. Fcod is one of the subgroups of cemento osseous dysplasia cod 1,2. Cooccurence of florid cementoosseous dysplasia and simple bone cyst. Florid cementoosseous dysplasia and osteomyelitis for treatment purposes, the patient underwent hemato logical exams. Cooccurence of florid cementoosseous dysplasia and simple. The three types are periapical cemental dysplasia common in those of african descent, focal cemento osseous dysplasia caucasians, and florid cemento osseous. It is usually a solitary fibrocementoosseous 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. Florid cemento osseous dysplasia 347 introduction the term florid cemento osseous dysplasia fcod refers to a group of fibro osseous cemental exuberant lesions with multiquadrant involvement 1. Pdf floridcementoosseous dysplasia fcod is afibroosseouslesion that characteristically affects the jaw bones of the middleaged with. This case report demonstrates an unnecessary endodontic treatment of teeth with florid cementoosseous dysplasia fcod due to a misdiagnosis as periapical. The posterior toothbearing regions are the usual sites of involvement. Florid cementoosseous dysplasia fcod is a benign jaw lesion originating from periodontal ligament tissues usually asymptomatic and diagnosed accidentally at routine dental radiographic examination.
Fcod is predominant in the mandible, but it may affect all four quadrants with prevalence in middleaged african american and asian females. Findings of florid cementoosseous dysplasia journal of oral. Pre surgical panoramic radiograph showing multiple sclerotic masses with radiolucent borders found in the maxilla and mandible. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. A correct diagnosis of periapical cementoosseous dysplasia can be. Florid cemento osseous dysplasia 57 did not seem to be related to a simple bone cyst.
Florid cementoosseous dysplasia may have similarities with jaw bone changes in familial adenomatosis coli gardners syndrome15, but florid cementoosseous dysplasia has no other skeletal changes or skin tumours or even the dental anomalies that are seen in this syndrome. Focal cemento osseous dysplasia fcod is a benign fibro osseous lesion which changes cancellous bone tissue with each fibrous tissue and cementumlike material, or both together. Florid cemento osseous dysplasia is a nonneoplastic fibro osseous lesion which often has an asymptomatic slow growth. Florid cemento osseous dysplasia gigantiform and familial multiple cementoma iii. These conditions are most prevalent in middleaged african american women, but they have been seen in asians and caucasians as well. Management of symptomatic florid cementoosseous dysplasia ncbi. The purpose of this paper is to report three cases diagnosed as fcod with their clinical, radiographic and histological findings.
Osseous cemento osseous dysplasia in second stage or cementoblastic stage. Cementoosseous dysplasia cod is the most common osseous fibrous lesion, which involves replacement of the normal bone with a poorly cellularized cementum like material and cellular fibrous connective tissue. This condition has been interpreted as a dysplastic lesion or developmental anomaly arising in toothbearing areas. Diagnosis and management of benign fibroosseous lesions of the jaws. Radiographically, the lesion has a variable appearance depending on the duration but may appear as a radiolucent to radiopaque lesion that can be well to. There are only four reported cases known to the authors. Florid cementoosseous dysplasia is a rare, nonmalignant osseous lesion affecting the jaws. This classification based on clinical characteristic, location and radiographic features 2,4. Fibro osseous lesions of the jaws include fibrous dysplasia, ossifying fibroma, and cemento osseous dysplasia cod. All of the cementoosseous dysplasias occur in toothbearing areas. Florid cementoosseous dysplasia fcod has been described as a condition that characteristically affects the jaws of middleaged black women. Florid cementoosseous dysplasia 347 introduction the term florid cementoosseous dysplasia fcod refers to a group of fibroosseous cemental exuberant lesions with multiquadrant involvement 1.
In severe cases, focal expansion may occur due to infection. Florid cementoosseous dysplasia genetic and rare diseases. Babu1, renita lorina castelino1 1department of oral and maxillofacial radiology, ab shetty memorial institute of dental sciences, nitte university, deralakatte, mangalore, karnataka, india. Lesions classified as cemento osseous dysplasia cod largely encompass three different subgroups. This condition is usually benign, does not usually require any specific. Focal cementoosseous dysplasia early stage ddmfr oral. Florid cementoosseous dysplasia may be familial with an. Cementoosseous dysplasia is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments this video contains general. Florid cementoosseous dysplasia 57 did not seem to be related to a simple bone cyst.
Concurrent cementoosseous dysplasia and osteogenic sarcoma. It is an exuberant variant of cementoosseous dysplasia normally seen in multiple quadrants of the jaws. Extensive sclerotic masses of florid cementoosseous dysplasia. Goncalves m, ronaldo p, alves fa, blugao cb, gonalves a. On 05072012, in diagnosis, by vladimir tismensky, dds the term benign fibroosseous lesion refers to a group of conditions in which bone is replaced with fibrous connective tissue containing abnormal bone or cementum. Pcod is a reasonably welldefined clinicalradiological entity, predominantly involving the apical areas of. Florid cemento osseous dysplasia was first described by melrose et al. A surgical therapy was selected with removal of bone. Cooccurence of florid cemento osseous dysplasia and simple bone cyst. Cementoosseous dysplasia radiology reference article.
The other cod lesions are focal cemento osseous dysplasia and periapical cemento osseous dysplasia 1. Treatment planning for periapical cemental dysplasia inside. 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. Extensive sclerotic masses of florid cementoosseous. Fcod is a very rare condition presenting in the jaws. It is usually a solitary fibro cemento osseous lesion. These lesions exhibit a sclerotic appearance similar to that of other lesions on conventional radiographs. The patient was a 71yearold woman who had had a painless swelling in the left maxillary gingiva for 2 years. Florid cementoosseous dysplasia consists of selflimiting lesions involving alveolar processes. Diagnosis of florid cementoosseous dysplasia can be made with accurate clinical and radiographic assessment. Other cemento osseous dysplasias defined as lesions which share some of the features of periapical cemental dysplasia andor florid cemento osseous dysplasia, but do not have their characteristic clinicopathological patterns of presentation. A combination of cod and os is rare and sparsely reported in literature. Florid cementoosseous dysplasia fcod is a benign jaw lesion originating. Florid cementoosseous dysplasia fcod belongs to the group of fibro osseous lesions in which normal bone is replaced by fibrous connective tissue.
Florid cemento osseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed. Jan 17, 2012 florid cemento osseous dysplasia fcod has been described as a condition that characteristically affects the jaws of middleaged black women. Cemento osseous dysplasias cods are fibro osseous lesions in which the normal bone architecture is replaced by fibroblasts and collagen fibres containing variable amounts of mineralised material. It is an exuberant variant of cemento osseous dysplasia normally seen in multiple quadrants of the jaws.
Florid cementoosseous dysplasia fcod has been described as a condition that characteristically affects the jaws of middleaged black. Florid cementoosseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed. 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. Focal cementoosseous dysplasia gumusok m, alkurt mt, hamurcu. Radiographically, the lesion has a variable appearance depending on the duration but may appear as a radiolucent to radiopaque lesion that can. The relationship between fibrous dysplasia and osteo fibroma remains controversial. Florid cementoosseous dysplasia is a sclerosing disease that affects the mandible, especially the alveolar process, and that is, in most cases, bilateral.
Management of florid cementoosseous dysplasia fcod florid cementoosseous dysplasia fcod is defined as a benign fibroosseous lesion. Florid cementoosseous dysplasia gigantiform and familial multiple cementoma iii. Focal cementoosseous dysplasia fcod is a benign fibroosseous lesion which changes cancellous bone tissue with each fibrous tissue and cementumlike material, or both together. Only multiple forms of cementoosseous dysplasia occurring in a series in the reporting authors case load were considered. Case 5 management of florid cementoosseous dysplasia fcod. Florid cemento osseous dysplasia and osteomyelitis for treatment purposes, the patient underwent hemato logical exams.
Cementoosseous dysplasias cods are fibroosseous lesions in which the normal bone architecture is replaced by fibroblasts and collagen fibres containing variable amounts of mineralised material. Fcod is most commonly found in middleaged black women, is generally asymptomatic, and is usually detected during radiological examination. Cementoosseous dysplasia is a condition that results in the formation of calcified lesions in the jaws and teeth. It usually exhibits as multiple radiopaque cemetumlike masses distributed throughout the jaws. This entity occurs more commonly in females and has a predilection for african americans. Fibroosseous lesions of the jaws include fibrous dysplasia, ossifying fibroma, and cementoosseous dysplasia cod. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous. Fcod is, usually, found during routine radiographic examination. Jc 1 cbct findings of periapical cementoosseous dysplasia. This condition is usually asymptomatic and has a benign course.
Pulp testing is an important tool in diagnosing periapical cementoosseous dysplasia, and limited. A case of florid cementoosseous dysplasia of the maxilla. The other cod lesions are focal cementoosseous dysplasia and periapical cementoosseous dysplasia 1. The teeth that are related to the lesion are vital, and fcod is generally asymptomatic. A case report article pdf available in brazilian dental journal 204. Florid cementoosseous dysplasia florid cod shows multifocal involvement.
Cementoosseous dysplasia cod is a benign condition affecting the jaw that may arise from the fibroblasts of the periodontal ligaments. Pdf florid cementoosseous dysplasia at the site of. Radiographically, fcod appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. Cemento osseous dysplasia cod represents a rare group of benign fibroosseous disorders, while osteogenic sarcoma os on the hand, is a malignant tumour of ominous prognosis. Cementoosseous dysplasia definition of cementoosseous. Florid cemento osseous dysplasia fcod is a rare bone lesion that predominantly involves the womens jaws in middle age.
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 cemento osseous dysplasia and report of a case. If you have problems viewing pdf files, download the latest version of adobe reader. Extensive sclerotic masses of florid cemento osseous dysplasia. We report a case of florid cemento osseous dysplasia of the maxilla.
For language access assistance, contact the ncats public information officer. Based on all the above information, a diagnosis of florid cementoosseous dysplasia fcod was made. Then, she received antibiotics to treat acute pain and suppuration. 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. People with fcod develop lesions in the jaw, were spots of normal bone are replaced with a mix of connective tissue and abnormal bone. Focal cementoosseous dysplasia gumusok m, alkurt mt. Clinical, radiographic, biochemical and histological findings of florid cementoosseous dysplasia and report of a case. Florid cemento osseous 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. Nov 14, 2018 florid cemento osseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed. Unfortunately, these lesions are usually diagnosed through routine radiographic examination. Fcod is one of the subgroups of cementoosseous dysplasia cod 1,2. We report a case of florid cementoosseous dysplasia of the maxilla. Cemento osseous dysplasia cod is a benign condition affecting the jaw that may arise from the fibroblasts of the periodontal ligaments.
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