Florid cementoosseous dysplasia and osteomyelitis scielo. Differentiating early stage florid osseous dysplasia from periapical. Difficulties in the diagnosis of periapical translucencies and in 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. Abstractflorid cementoosseous dysplasia fcod has been described as a condition. Fcod is a very rare condition presenting in the jaws. Clinical, radiographic, and histological findings of.
A surgical therapy was selected with removal of bone. All books are in clear copy here, and all files are secure so dont worry about it. Then, she received antibiotics to treat acute pain and suppuration. 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 cementoosseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to jaws. Among 118 patients with osseous cemento osseous dysplasia of the jaw, the condition was usually asymptomatic. Florid cementoosseous dysplasia mimicking multiple periapical pathologyan endodontic dilemma. Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. 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.
Florid cemento osseous dysplasia mimicking multiple periapical pathologyan endodontic dilemma. Florid cementoosseous dysplasia in a young indian woman. 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. Some literature suggest the association of fcod with traumatic bone cysts, elsewhere in the.
Radiological findings of florid cementoosseous dysplasia. Download florid cemento osseous dysplasia and osteomyelitis. If you have problems viewing pdf files, download the latest version of adobe reader. It is an exuberant variant of cementoosseous dysplasia normally seen in multiple quadrants of the jaws. Initial periapical radiograph showing a mixed radiolucent and radiopaque lesion at the periapical area of the right mandibular second molar.
The following case is an example of florid osseous dysplasia cementoosseous dysplasia. Florid osseous dysplasia with superimposed mandibular osteomyelitis, skeletal radiology, 2014, pp. People with fcod develop lesions in the jaw, were spots of normal bone are replaced with a mix of connective tissue and abnormal bone. Orthodontic treatment and cementoosseous dysplasia. Florid cementoosseous dysplasia is a sclerosing disease that affects the mandible, especially the alveolar process, and that is, in most cases, bilateral.
In this new century, brazil has adopted a new national oral health plan, and at the same time, social and economic conditions allowed lowerincome populations to have access to health services. Abstract florid cementoosseous dysplasia fcod is a type of. The presenting features of the patient and the effect of orthodontic treatment on this case are discussed. The term florid cementoosseous dysplasia fcod refers to a group of fibroosseous cemental exuberant lesions with multiquadrant involvement. Read online florid cementoosseous dysplasia and osteomyelitis. The databases searched were the pubmed interface of medline and lilacs literature index for latinamerica and the. In this report, we describe a family in which mother and daughter exhibited clinical. Though as in the case of the cementoossifying fibroma, the 4th edition of the who classification reverts to the term cementoosseous dysplasia. The lesions are often found in equal numbers and size on both sides of the jaw. This article is from journal of clinical and experimental dentistry, volume 5.
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. Cementoosseous dysplasia is totally asymptomatic in many cases, in those conditions, lesions are detected in a radiograph taken for other purposes. Florid cementoosseous dysplasia fcod is a fibroosseous lesion that affects jaw bones of middleaged women affecting two or more quadrants of the jaw. They are associated with the apices of the teeth if present. Download florid cementoosseous dysplasia and osteomyelitis. The dense bone of florid osseous dysplasia is very susceptible to infection and osteomyelitis, particularly with advancing years and in response to trauma. It appears predominantly in black and asian middleaged females. All alternative names for fcod were used as search terms for two electronic. She presented with three lesions, two of them symmetrical, at the posterior region of the. Florid cementoosseous dysplasia consists of selflimiting lesions involving alveolar processes. Alternative names for foccod were used as search terms. Fibro osseous lesions classifications, pathophysiology. Dysplasias occurs in tooth bearing areas most common fibroosseous lesion divided into 3 groups i.
The purpose of this paper is to report three cases diagnosed as fcod with their clinical, radiographic and histological findings. Pdf florid cementoosseous dysplasia at the site of previous. Florid cementoosseous dysplasia fcod is a rare condition presenting in the jaws of unknown aetiology. 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. Florid cementoosseous dysplasia fcod is a condition that occurs in the jaw bone, especially close to where the teeth are formed. Florid cementoosseous dysplasia fcod is a benign jaw lesion originating from periodontal ligament tissues usually asymptomatic and diagnosed accidentally at routine dental radiographic examination. Pdf florid cementoosseous dysplasia fcod has been described as a condition that characteristically affects the jaws of middleaged black women. Florid cementoosseous dysplasia fcod is a rare bone lesion that predominantly involves the. Difficulties in the diagnosis of periapical translucencies. Most cases presented as solitary lesions or in association with simple bone cysts or osteomyelitis. Whereas historically these lesions were believed to be cementoosseous, in 2001 brannon and fowler 2 showed in an histopathological study. Florid osseous dysplasia definition of florid osseous. Floridcementoosseous dysplasia fcod is afibroosseouslesion that. Florid osseous dysplasia fod, which was first described by melrose in 1976, is a rare benign lesion.
The lesions are often bilaterally and symmetrically positioned. 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. For language access assistance, contact the ncats public information officer. Florid cementoosseous dysplasia fcod is one of the uncommon dysplasias affecting the maxillofacial region. The term florid cementoosseous dysplasia fcod refers to a group of fibroosseouscemental exuberant lesions with multiquadrant involvement. We present a rare case of florid cementoosseous dysplasia fcod occurring in a 27yearold indian woman. Florid osseous dysplasia with superimposed mandibular. Fibroosseous lesions of the jaw include fibrous dysplasia, ossifying fibroma, and cementoosseous dysplasia cod. Several root canals were completed by her dentist 4 years ago. Read online florid cemento osseous dysplasia and osteomyelitis. To report a case of florid cementoosseous dysplasia fcod and chronic diffuse sclerosing osteomyelitis cdso in a simultaneous presentation. Florid cementoosseous dysplasia involves symmetrical lesions forming in either the upper jaw, lower jaw, or both jaws. Florid cementoosseous dysplasia fcod is a rare, benign, multifocal fibroosseous dysplastic process affecting toothbearing areas of the jaw, characterized by replacement of normal trabecular bone with osseous tissue and dense acellular cementum in a.
Florid cementoosseous dysplasia 347 introduction the term florid cementoosseous dysplasia fcod refers to a group of fibroosseous cemental exuberant lesions with multiquadrant involvement 1. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia. Florid cementoosseous dysplasia genetic and rare diseases nih. We report a case of fcod involving three quadrants of the jaws and associated with two large cystic lesions of the mandible in a 40. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree. 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. Its importance is that it could mimic a periapical lesion in the early, translucent stage. The disease is known to be periodontal ligament in origin which is asymptomatic, characterized by multiple, confluent, and nonexpansile radioopacities, often with circumferential radiolucency. Florid osseous dysplasia fod is an osseous dysplasia rarely presenting in the jaws. Florid cementoosseous dysplasia and osteomyelitis for treatment purposes, the patient underwent hemato logical exams. Cementoosseous dysplasia is a benign fibroosseous lesion of the toothbearing region of the jaws with a periodontal ligament origin.
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. The disease may be selflimiting as reported by many authors, but as in this case, can be symptomatic for most of the person. Florid osseous dysplasia is a benign condition that usually involves multiple quadrants of the jaws. Florid cementosseous dysplasia fcod is a reactive type of fibroosseous lesion,3 which is considered to be a widespread form of periapical cementoosseous dysplasia, with the same selflimiting nature and preservation of vitality of associated teeth. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous dysplasia african. A study looking back on the diagnoses made at a single brazilian centre within a 28year timeframe was performed. The aim of this study was to describe a series with 66 cases of infected cementoosseous dysplasia cod and to discuss the demographic distribution, clinicoradiographic features and treatment of this condition. In the current study, occlusal radiographs were not available for all cases, and bony expansion could not be comprehensively analyzed. This report presents a case of florid cementoosseous dysplasia fcod, affecting the mandibular teeth, in a 23yearold somalian female patient for whom orthodontic treatment was undertaken. In the present case no familial aspects of the disease could be established.
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