Lesions classified as Cemento-osseous dysplasia (COD) largely encompass three different sub-groups: Florid, focal and periapical lesions. Presentation is said. Cemento-osseous dysplasia (COD) is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. It is most common in. Periapical cemento-osseous dysplasia (COD) is a very rare benign lesion arising from a group of disorders which are known to originate from undifferentiated.

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Alsufyani is oral and maxillofacial radiologist and PhD candidate, faculty of medicine eysplasia dentistry, University of Alberta, Edmonton, Alberta. The word ‘florid’ was introduced to describe the wide spread, extensive manifestations of the disease in the jaws. Minor radiolucency could be recognized around the roots while the high dense deposit within the bone is obvious at the mandibular associated lesions.

Conflict of interests None declared. Of these patients, most 97 [ Discussion Clinical and radiographic features are diagnostic for FCOD, it is almost always asymptomatic and nonexpanding, usually discovered cemento-osseoue on routine dental radiographs. Focal cemennto-osseous dysplasia masquerading as a residual cyst. Imaging Science in Dentistry. References White S, Pharoah M. A clinical and histopathologic study of fifteen cases. Multiple oral radiopaque masses leading to Gardner’s syndrome diagnosis.

Periapical cemento-osseous dysplasia COD is a very rare benign lesion arising from a group of disorders which are known cemento-sseous originate from undifferentiated cells of the periodontal ligament tissue. The intraoral radiograph of the area showed deep periodontal pockets and mobility; it was thus decided to extract these three teeth Figure 1.

Florid cemento osseous dysplasia: 15-years clinical and radiographic follow-up.

Clinical, radiographic, biochemical and histological findings of florid cemento-osseous dysplasia and report of a case. Ogunsalu C, Miles D. The purpose of this report is to present a case of FCOD which was diagnosed on the basis of clinical and radiographic features with 15 years follow up.

Most of the lesions were well defined, with a radiolucent border surrounded by a radiopaque border, and most were mixed radiolucent and radiopaque internally, with no effects on surrounding structures. In this case report an FCOD is presented, which is located between the first premolar and the second molar on the left side mandible of a year-old female patient.


The lesion caused perforation and expansion of alveolar bone. Diagnosis is important so that the treating doctor does not confuse it for another periapical disease such as rarefying osteitis or condensing osteitis. For all but 3 of the patients, clinical features had been recorded. Benign fibro-osseous lesions of the craniofacial complex. Histological appearance of FCOD showed large sheets or fused globules of cemento-osseous tissue, which may be fused to the roots of one or more teeth or may lay separately.

Clinical, radiographic, biochemical and histological findings of florid Cemento-osseous dysplasia and report of a case. The 20 male patients OPT image shows increase in the radio-opacity mainly noticed around the root of the mandibular left first molar. Familial florid cemento-osseous dysplasia: Of these patients, 83 This makes differential diagnosis especially important, and in our view it should also include other bone diseases having similar features but requiring completely different treatment.

Radiologic images of FCOD change depending on the amount of mineralization. Abstract Introduction Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws. Incorrect diagnosis could lead to unnecessary root canal treatments.

This paper reports cemento-osesous case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. Extraction is usually not recommended, due to poor socket healing because of impaired blood circulation in the affected bone area. First, the sample of cases was subject to referral bias.

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.

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Florid cemento osseous dysplasia: years clinical and radiographic Dentistry

Computed tomography showing vertical sections of the mandibular lesions around the roots of the left first molar. Oral and Maxillofacial Pathology3rd Edition. The treatment plan at that time included non-surgical periodontal therapy and restorative treatment of the caries on the mandibular molar in addition to keep the patient on periodontal maintenance and radiographic follow-up of the mandibular lesions.


The latest OPG in as revealed in Figure 4 demonstrates similar features with an increased density in comparison to earlier stages of the disease.

Panoramic radiograph of the patient Click here to view. Clinical and radiographical findings led to a diagnosis of periapical rarefying osteitis, and the three teeth were thus extracted. Report of a case documented with clinical, radiographic, biochemical and histological findings. Pathology of the maxilla and mandible Musculoskeletal disease stubs. FCOD is, usually, found during routine radiographic examination. Cemento-osseous dysplasia of the jaws in 54 Japanese patients: This case demonstrates the importance of a full investigation when a patient presents after tooth extraction with non-healing socket, pain, and swelling.

According to the classification system introduced by the Revised World Health Organization WHO Guidelines, Cemento-Osseous Dysplasia is categorized as a form of neoplasm or other bone-related lesion; it can be sub-divided into periapical cemental dysplasia PCDalso known as periapical fibrous dysplasia, florid COD also known as gigantiform cementoma or familial multiple cementoma and other types of COD 23.

The cementum-like substances were mainly acellular in structure; there were no signs of free hemorrhage or osteoclastic activity. Case report This report will present “according to our knowledge” the first documented case of FCOD in Jordan with 15 years clinical and radiographical data follow up.

This lesion is evaluated to be a reactive or a dysplastic process in the periapical tissues. Clinical, radiographic, and histological findings of florid cemento-osseous dysplasia: Periapical cemental dysplasia resembling apical granulomata and radicular cysts.

In their early stages, lesions may be misidentified as a form of periapical rarefying osteitis, for example as a periapical abscess, granuloma, or cyst, and in these cases unnecessary endodontic treatment may be performed S50 – 70 ,