Focal cemento osseous dysplasia involves the lesions forming at the back of the mandible lower jaw bone, and it is the most common of these three types of cemento osseous dysplasia. Jan 17, 2012 florid cemento osseous dysplasia fcod has been described as a condition that characteristically affects the jaws of middleaged black women. Osseous dysplasia is the most common form of fol in the jaw bones 24. It is classified as sclerosing osteitis, multiple exostoses, diffuse chronic osteomyelitis, and gigantiform cementoma.
Florid cementoosseous dysplasia in a young indian woman. Cbct findings of periapical cementoosseous dysplasia. The lesions are often bilaterally and symmetrically positioned. Pdf 2 florid cemento osseous dysplasia lawal adisa.
Cemento osseous dysplasias are further classified into three main. Florid cementoosseous dysplasia gigantiform cementoma, familial multiple. It is an asymptomatic lesion and needs no treatment. Familial florid cementoa osseous dysplasia a case report and. Florid cemento osseous dysplasia is an uncommon disease of the jaws. Florid cemento osseous dysplasia in association with dentigerous cyst. Clinical, radiographic, and histological findings of florid. This report presents a case of florid cemento osseous dysplasia fcod, affecting the mandibular teeth, in a 23yearold somalian female patient for whom orthodontic treatment was undertaken. The three types are periapical cemental dysplasia common in those of african descent, focal cemento osseous dysplasia caucasians, and florid cemento osseous. Florid osseous dysplasia, florid cemento osseous dysplasia, differential diagnosis, periapical endodontic lesions, dental pulp sensitivity test, conebeam ct background osseous dysplasia od is the most common fibro osseous lesion of the jaws affecting all parts of the maxilla and mandible, including the periapical region. Florid cementoosseous dysplasia is a nonneoplastic fibroosseous lesion which often has an asymptomatic slow growth. Fibro osseous lesions classifications, pathophysiology and. The term florid osseous dysplasia was coined in 1976 by melrose et al.
Periapical cemento osseous dysplasia cod is a very rare benign lesion arising from a group of disorders which are known to originate from undifferentiated. Florid cementoosseous dysplasia fcod is an exuberant multiquadrant fibroosseous or fibrocemental. All alternative names for fcod were used as search terms for two electronic. We present a rare case of florid cemento osseous dysplasia fcod occurring in a 27yearold indian woman. These findings allowed us to ruleout gardners syndrome.
Background 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. Cementoosseous dysplasia of the jaw bones tspace university. Based on all the above information, a diagnosis of florid cementoosseous dysplasia fcod was made. For this authors, periapical cementoosseous dysplasia or focal cementoosseous dysplasia are two different terms for the same reactive lesion. Florid cementoosseous dysplasia is a condition of the bone which is rare and usually affects jaw bones. However, the variation in appearances of mineralized material distinguishes both lesions. Cemento osseous dysplasia, florid osseous dysplasia, focal osseous dysplasia introduction florid cemento osseous dysplasia flcod is a benign lesion affecting the jaws and was first reported by melrose et al. Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are. Cemento osseous dysplasia is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. Syed jie yang ct images show fourquadrant bilateral mandibular and maxillary exuberant sclerosis. Fcod was also reported as multiple cemento ossifying fibroma, sclerosing osteomyelitis, sclerosing osteitis, multiple osteomas, periapical cementoblastoma. Case report a 48yearold black female presented for routine dental care.
Florid cemento osseous dysplasia and osteomyelitis for treatment purposes, the patient underwent hemato logical exams. Although the etiology of cods is unknown, the lesions are suggested to originate from the pdl. Florid osseous dysplasia fod is an osseous dysplasia rarely presenting in 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. Florid osseous dysplasia fod is the most dramatic and rare variant of the cemento osseous lesions in which the normal cancellous bone is replaced by dense, acellular cemento osseous tissue in a background of fibrous connective tissue. Florid osseous dysplasia fod is one of the osseous dysplasias, which are characterized by the replacement of normal bone by fibrous tissue and metaplastic bone. Two oral and maxillofacial radiologists assessed the scans. 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. Clinical symptoms may occur due to secondary infection of exposed masses or may be due to mucosal irritation under prostheses.
Florid cementoosseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed. In the present case no familial aspects of the disease could be established. The lesions are most frequently seen in middleaged black women and show a marked tendency for bilateral and symmetric involvement. It is particularly common in the jaws of middleaged black women. Florid osseous dysplasia fod is a type of sclerosing disease that is characterised by intense opaque masses with many irregular lobules. Cemento osseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. The presenting features of the patient and the effect of orthodontic treatment on this case are discussed. The following case is an example of florid osseous dysplasia cemento osseous dysplasia. The relationship between fibrous dysplasia and osteo fibroma remains controversial. Jan 19, 20 florid cemento osseous dysplasia fcod is a benign fibro osseous lesion that primarily affects the jaws of middleaged women of african ancestry. She was systemically healthy and extraoral examination was within normal limits.
Case report open access mandibular actinomyces osteomyelitis complicating florid cemento osseous dysplasia. The florid cementoosseous dysplasia fcod is a category of cemento. Original article florid osseous dysplasia coexisting with. To describe the effects of cemento osseous dysplasia cod on anatomical structures. 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. Root canal treatment was performed and because of the radiographic signs of root resorption and the patients fear of having a malignant disease, periapical surgery was also performed. Florid cemento osseous dysplasia consists of selflimiting lesions involving alveolar processes. The prevalence, clinical and radiographic characteristics of cemento osseous dysplasia in korea.
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. Florid cemento osseous dysplasia fcod is a rare condition presenting in the jaws of unknown aetiology. It is an exuberant variant of cemento osseous dysplasia normally seen in multiple quadrants of the jaws. The purpose of this study is to assess possible diagnostic differences between. Florid cemento osseous dysplasia gigantiform and familial multiple cementoma iii. Florid osseous dysplasia with superimposed mandibular. Rangoonwala college of dental sciences and research centre, pune, maharashtra, india florid cementoosseous dysplasia is a condition of the bone which is rare and usually affects jaw bones. Fibro osseous lesions classifications, pathophysiology.
It appears to be a widespread form of periapical cemental dysplasia pcd. Cementoosseous dysplasia cod is the most common fibro osseous lesion faced in clinical practice and affects the toothbearing areas of the jaws. A study looking back on the diagnoses made at a single brazilian centre within a 28year timeframe was performed. Two cases of florid cemento osseous dysplasia with different clinical and radiological features were presented. Florid cementoosseous dysplasia fcod, described by melrose et al. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous dysplasia african. Cases with a confirmed diagnosis of periapical, focal, or florid cod were included. Then, she received antibiotics to treat acute pain and suppuration. These lesions exhibit a sclerotic appearance similar to that of other lesions in conventional radiographs. In addition, florid cemento osseous dysplasia is frequently associated to black women, while chronic diffuse sclerosing osteomyelitis is seen predominantly in adult caucasian men 6,14. In severe cases, focal expansion may occur due to infection.
Start studying periapical, pericoronal, and interradicular radiopacities. Periapical cemento osseous dysplasia focal cemento osseous dysplasia florid cemento osseous dysplasia. Research cementoosseous dysplasia of the jaw bones. Familial florid cemento osseous dysplasia is a very uncommon condition. People with fcod develop lesions in the jaw, were spots of normal bone are replaced with a mix of connective tissue and abnormal bone. The purpose of this paper is to report three cases diagnosed as fcod with their clinical, radiographic and histological findings.
Pdf management of symptomatic florid cementoosseous. Hard tissue component in most cases does not fuse with the root surface of the involved teeth, but may merge with the surrounding bone 14. Third molar coronectomy in a patient with florid osseous. Differentiating early stage florid osseous dysplasia from. Misdiagnosis of florid cemento osseous dysplasia leading to unnecessary root canal treatment. Taha emre kose 1, onur dincer kose 2, hulya cakir karabas 1, tamer lutfi erdem 1, ilknur ozcan 1. Treatment planning for periapical cemental dysplasia. Panoramic radiographs showed multiple radiopacities compatible with fibro osseous lesions in distinct areas of the maxillary bones. Till today, nearly 2% cases have been reported in the indians according to current literature 2.
According to her primary care physician, there was no evidence on radiographs of any osteomas and a series of colonoscopies over the years demonstrated no evidence of colon cancer. Treatment planning for periapical cemental dysplasia inside. Differential diagnosis of periapical radiopacities and. It belongs to the spectrum of fibro osseous 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 management of florid cementoosseous dysplasia for asymptomatic patients consist of regular recalls and observations to ensure that the process is confined within normal limits of the disease and to detect any possible changes, as the disease may persist for indefinite periods of time without causing any symptoms. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. Periapical, pericoronal, and interradicular radiopacities. Cbct scans were retrospectively selected from a database of individuals who attended an oral medicine service. 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. Florid cementoosseous dysplasia pubmed central pmc. Pdf introduction cementoosseous dysplasia is a jaw disorder. However, the world health organizations most recent tumor classification says that periapical cementoosseous dysplasia is. It is clinically the most extensive form of cemento osseous dysplasia.
Several root canals were completed by her dentist 4 years ago. The aim of this study was to describe a series with 66 cases of infected cemento osseous dysplasia cod and to discuss the demographic distribution, clinicoradiographic features and treatment of this condition. Florid cemento osseous dysplasia has been interpreted as a dysplastic lesion or developmental anomaly arising in toothbearing areas. Cemento osseous dysplasia is totally asymptomatic in many cases, in those con ditions, lesions are detected in a radiograph taken for other purposes. 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. Patient treatment planning represents a fusion of science, emotion, economics, and reality. May be associated with florid cemento osseous dysplasia. Florid osseous dysplasia fod, which was first described by melrose in 1976, is a rare benign lesion. The term florid cemento osseous dysplasia fcod refers to a group of fibro osseous cemental exuberant lesions with multiquadrant involvement. Diagnosis of florid cementoosseous dysplasia can be made with accurate clinical and radiographic assessment.
Conebeam computed tomography analysis of cementoosseous. Focal cementoosseous dysplasia fcod is a benign fibroosseous condition that can be seen in dentulous and edentulous patients. Florid cementoosseous dysplasia fcod is a rare, benign, broosse ous, and multifocal dysplastic lesion of the jaw that consists of cellular brous connective. Case report open access mandibular actinomyces osteomyelitis. Florid osseous dysplasia with superimposed mandibular osteomyelitis sayed ali sunita nankoo ali b. This condition is usually asymptomatic and has a benign course. Kim jh, song bc, kim sh, park ys 2011 clinical, radiographic, and histological findings of florid cemento osseous dysplasia. Florid osseous dysplasia definition of florid osseous. Florid cemento osseous dysplasia fcod is one of the subgroups of cemento osseous dysplasia cod which was first described by melrose 1, abrams and mills in 1976 2. Fcod is a very rare condition presenting in the jaws. Florid osseous dysplasia is a benign condition that usually involves multiple quadrants of the jaws. This article reports the case of a 49yearold black woman who was diagnosed with florid cemento osseous dysplasia. A surgical therapy was selected with removal of bone.
Pdf cementoosseous dysplasia is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. Cemento osseous dysplasia cod of the jaw is a benign fibro osseous lesion that is subdivided into three types, periapical, focal, and florid, based on the clinical and radiologic features. It is a rare condition presenting in the jaw refers to a group of fibroosseous cemental exuberant lesions with multiquadrant involvement. Florid cementoosseous dysplasia is a subtype of cementoosseous dysplasia.
Pdf florid cementoosseous dysplasia at the site of. Focal cod fcod usually affects the posterior toothbearing area or edentulous alveolar process and typically presents as an asymptomatic lesion diagnosed. Florid cementoosseous dysplasia fcod is an exuberant multiquadrant fibro osseous or fibrocemental. Misdiagnosis of florid cementoosseous dysplasia leading to. Florid cementoosseous dysplasia fcod is a type of fibroosseous lesion and represents a reactive process in which normal bone is replaced by poorly cellularized cementumlike materials and cellular fibrous connective tissues. Florid cementoosseous dysplasia genetic and rare diseases. Fcod refers to a group of fibroosseous cemental radiographically, fcod appear as dense. Lesions classified as cemento osseous dysplasia cod largely encompass three different subgroups. Florid cementoosseous dysplasia radiopacity ddmfr oral. This paper reports a rare case of florid osseous dysplasia affecting maxilla and mandible bilaterally in a 14yearold indian male patient. Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. Florid cemento osseous dysplasia fcod is a sclerosing disease characterised by intense opaque masses with many irregular lobules and is generally observed in the jaws and the alveolar process.
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. Florid cemento osseous dysplasia fcod is a disease with multiple bilateral and often symmetrically extensive lesions throughout the maxillofacial region predominantly in the mandible demonstrating a predilection for correspondence. 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. Clinical, radiographic, biochemical and histological findings. Osseous dysplasia develop only in toothbearing regions, it is hypothesized that elements present in the periodontal ligament space or teeth and periodontium present in the jaw bones are at the origin of this unique group of lesions 2426. Unfortunately, these lesions are usually diagnosed through routine radiographic examination. Florid cementoosseous dysplasia complicated by chronic. May 09, 2019 periapical cemento osseous dysplasia cod is a very rare benign lesion arising from a group of disorders which are known to originate from undifferentiated. Florid cementoosseous dysplasia fcod is a reactive bone dysplasia that involves toothbearing areas of the jaws. They are associated with the apices of the teeth if present. These lesions are most commonly seen in middleaged. Cemento osseous dysplasia is totally asymptomatic in many cases, in those con. Florid cemento osseous dysplasia may also be confused with.
Florid cemento osseous dysplasia fcod is a rare bone lesion that predominantly involves the womens jaws in middle age. Florid cementoosseous dysplasia can be made with accurate clinical and radiographic. Genetic inheritance of fod and manifestation in members of the same family is rare, with only a limited number of reported cases. The histopathology report confirmed the presence of florid cement. Florid cementoosseous dysplasia is a histopathological term, but diagnosis can be decided by clinical and radiographic findings. She presented with three lesions, two of them symmetrical, at the posterior region of the. Management of symptomatic florid cementoosseous dysplasia. Florid cemento osseous 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. Fcod is most commonly found in middleaged black women, is generally asymptomatic, and is usually detected during radiological examination.
The term florid cement osseous osseous dysplasia fcod was first suggested by melrose et al in 1976 to describe a condition of exuberant multi quadrant masses of cementura andor bone in both jaws and in some cases, simple bone cavity like lesions in affected quadrant. Florid osseous dysplasia coexisting with focal osseous dysplasia in. Abstract florid cemento osseous dysplasia fcod is a type of. Florid cementoosseous dysplasia radiology reference. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
This may emerge as the result of progressive alveolar atrophy under a denture or after extraction of the term florid cementoosseous dysplasia teeth in the affected area involved 5. Orthodontic treatment and cementoosseous dysplasia. Radiographically, fcod appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. The prevalence, clinical and radiographic characteristics of cemento osseous dysplasia. This lesion may be completely asymptomatic and in such cases the lesion is detected incidentally in radiographs. This lesion is most commonly found in middleaged black women, although it may also occur in.