Florid cemento-osseous dysplasia (FCOD) is a type of fibro-osseous lesion and represents a reactive process in which normal bone is replaced by poorly. Abstract. Introduction. Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous. Only three Indian patients of florid cemento-osseous dysplasia have been reported (less than 2%), according to the review of recent literature (). This makes.

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These similarities make it difficult to definitively diagnose the condition on the basis of microscopic features alone.

Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report

Medical history revealed hyperlipidaemia controlled by statin group anti-lipidemic drugs and no other systemic dysllasia were reported. Discussion Many lesions that may exhibit a similar sclerotic appearance on conventional radiographs have to be differentiated and dental imaging can be used to discriminate between Florid COD and other lesions.

Natl J Maxillofac Surg ;1: Articles from Journal of Oral and Maxillofacial Pathology: None, Conflict of Interest: In the edentulous area of the right third molar the lesion appeared amorphous, lobulated and mixed radiolucent and radiopaque masses cotton-wool appearance with sclerotic borders.

Intraoral periapical radiograph showed well-defined irregularly shaped sclerotic masses corresponding to the roots of first and second permanent molar teeth of left mandible [ Figure 1 ]. Cemento-osseous dysplasia in African-American men: The patient was called back to our department 2 years after surgical treatment for a new radiographic follow-up that shows a complete healing Fig.


Florid cementoosseous dysplasia with concomitant simple bone cysts: Many lesions that may exhibit a similar sclerotic appearance on conventional radiographs have to be differentiated and dental imaging can be dyspllasia to discriminate between Florid COD and other lesions.

There are bony trabeculae surrounded by activated osteoblast and osteoclast.

As such, it was not feasible to analyze any potential patterns of occurrence in relation to ethnicity. Radiographically, the lesions appear as multiple sclerotic masses in the tooth-bearing regions which usually affect the mandible on both sides in a symmetrical manner, but all four quadrants may be involved, it presents as multiple radiopaque lesions that fuse into lobulated sclerotic masses.

Discussion Clinical and radiographic features are diagnostic for FCOD, it is almost always asymptomatic and nonexpanding, usually discovered incidentally on routine dental radiographs. A sclerotic margin surrounded these lesions. Cemento-osseous dysplasias are categorized into three types on basis of the clinical and radiographic features: Cemento-osseous dysplasia with associated simple bone cysts.

FCOD is usually asymptomatic and diagnosed accidentally crmento routine dental radiographic examination. In our case, we have diagnosed the condition as FCOD based on typical clinico-radiological features coupled with age and gender predilection and bilateral location in the mandible.

Cemento-osseous dysplasia – Wikipedia

Regardless ecmento radiologic features, we had more quadrants involved, so we were thinking about a florid COD. The radiographic findings in the current study are in agreement with the literature.


Minimal effects on surrounding structures were observed. Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. The lesion is detected only on radiographic examination with variation comprising a combination of radiolucent and radiopaque pattern.

How to cite this URL: Of the patients for whom age and sex were known, the majority 97 [ J Oral Maxillofac Pathol ; This report will present “according to our knowledge” the first documented case of FCOD in Jordan f,orid 15 years clinical and radiographical data follow up.

Florid cemento-osseous dysplasia mimicking apical periodontitis: West Indian Med J.

Support Center Support Center. These sclerotic masses were surrounded by a thin radiolucent border and appeared to be unattached to the root apices.

Intraoral examination revealed a carious left mandibular first permanent molar and a missing second permanent molar which was extracted due to caries 2 years ago. On March a CT examination was florjd in both jaws.

The patient was followed up for the next 15 years.

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Dull pain, drainage, exposure of the lesion in the oral cavity, focal expansion and facial deformities are present when infection occurs 20 A rare clinical case. Korean J Oral Maxillofac Radiol. Report of four cases.