Focal cemento-osseous dysplasia (FCOD) is a benign fibro-osseous lesion which changes cancellous bone tissue with each fibrous tissue and. 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 African-American females. The three types are periapical cemental dysplasia ( common in those of African descent), focal cemento-osseous. The distinguishing histopathologic features of focal cemento-osseous dysplasia ( FCOD) (including lesions occurring in both anterior and posterior jaws) and.

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In a minority of cases 15 [ Clinically apparent lesions presented with jaw swelling, dull pain or sensitivity, and drainage, which may have been due to secondary infection caused by direct exposure of the calcified masses to the oral cavity. None, Conflict of Interest: Distinguishing features of focal cemento-osseous dysplasias and cemento-ossifying fibromas: Unlike the aforementioned histopathologic findings of FOD, focal sclerosing osteomyelitis consists of fibrous tissue with an increased inflammatory component and mineralization without cementum-like calcifications [ 6 ].

Discussion The current classification of bone-related lesions, released in by the WHO, is based on age; sex; histopathological, radiographic and clinical characteristics; and location of the lesion.

Focal cemento-osseous dysplasia in the maxilla mimicking periapical granuloma. Support Center Support Center. Adjacent teeth are typically spared [ 356 ].


Focal cemento-osseous dysplasia masquerading as a residual cyst

In dentate areas, neither tooth displacement nor root resorption is observed. Panorex view of the oral cavity showed a non-expansile, mixed radiolucent-radiopaque, moderately well-defined lesion in the posterior mandible distal to the 18 tooth Fig.

Contributor Information Evelyn M. Sclerotic cemental masses of the jaws so-called chronic sclerosing osteomyelitis, sclerosing osteitis, multiple enostosis, and gigantiform cementoma. No treatment is required for FCOD and follow-up is required to confirm the diagnosis.

Oral and Maxillofacial Pathology3rd Edition. A review of current concepts.

Focal cemento-osseous dysplasia masquerading as a residual cyst

Clinically, the lesion resembled dhsplasia pathosis of odontogenic origin. Open in a separate window. Distinguishing features of focal cemento-osseous dysplasias and cemento-ossifying fibromas: The opinions and assertions expressed herein are those of the author and are not to be construed as official or representing the views of the Department of the Navy or the Department of Defense. A case report cemento-owseous literature review. Add new comment Your name. Demographic and clinical data, radiographic findings and final diagnoses were collected and analyzed to determine typical characteristics.

Surgical intervention and contouring of the swelling were performed dysllasia local anaesthesia figure 4 A,B. In the mixed radiolucent—radiopaque stage and the radiopaque stage, the differential diagnosis might include chronic sclerosing osteomyelitis, cemento-ossifying fibroma, odontoma and osteoblastoma.

The clinical and radiographic features of solitary and cemento-osseous dysplasia-associated simple bone cysts. Distinguishing features of focal cemento-osseous dysplasias and cemento-ossifying fibromas: Received Jun 1; Accepted Jun Advanced imaging was performed in cases where conventional radiographs cemento-osseou not suggest the definitive diagnosis, in cases where a simple bone cyst was identified and those in which osteomyelitis was suspected.


Osseous (Cemento-osseous) Dysplasia of the Jaws: Clinical and Radiographic Analysis | jcda

Focal cemento-osseous dysplasia in the maxilla mimicking periapical granuloma. Grossly, FOD is received as fragments of tan, gritty, friable tissue from currettings; hemorrhage is cemehto-osseous diffusely present [ 158 ].

The curetted material was submitted for histopathological examination [ Figure 2 ]. On the basis of the intraoperative findings during the curettage, it was suspected that the lesion was not a periapical granuloma or cyst of endodontic origin because the small fragments were gritty and hemorrhagic.

Photograph showing the surgical specimen Click here to view. Clinicopathologic study of cemento-osseous dysplasia producing cysts of cemento-osseoks mandible.

Cemento-osseous dysplasia

In addition, ossifying fibromas possess a denser fibroblastic stroma, and frequently, a storiform architecture [ 6 ]. The high incidence and broad spectrum of conditions causing periapical radiolucencies make it imperative that all dental clinicians acquire a broad and comprehensive working knowledge. Dentomaxillofac Radiol ; Postoperative sixth month control panaromic view presenting the healing of bone.

The favoured conservative approach to managing these conditions involves clinical and radiologic follow-up. An unusual case report.