Periapical cemento-osseous dysplasia (COD) is a very rare benign lesion arising from a group of disorders which are known to originate from undifferentiated. 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.

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Depending on the patient’s preference, a mandibular overdenture could later be provided. The subsequent radiographic findings follow the maturation pattern of FCOD, and the lesions are confined within the alveolus at a level corresponding to the roots of the teeth, above the inferior alveolar osseouss.

In the third patient, secondary osteomyelitis developed.

The latest OPG in as revealed in Figure 4 demonstrates similar features with an increased density in comparison to earlier stages of the disease. Florid cemento-osseous dysplasia is frequently associated to black women.

Oral and Maxillofacial Pathology3rd Edition. cemennto

Florid cemento osseous dysplasia: years clinical and radiographic Dentistry

The patient entered a six-monthly follow-up program, later reduced to annual checkups. Case report A case of osseos uncomplicated florid cemento-osseous dysplasia occurring in a year-old Jordanian female is reported, which can be considered rare regarding race dysplasiaa.

The patient was followed up for the next 15 years. The current study had several limitations. Presumably, less complex cases are easily managed by general practitioners, without the need to consult an oral and maxillofacial radiologist.

The mobility of teeth, the severe periodontitis, the persistence of signs of inflammation, and the slight pain reported by the patient, lead us to extract the dysplaxia teeth involved; the subsequent persistence of swelling then indicated a biopsy should be taken, and this established the diagnosis. Clinical and radiographical findings led to a diagnosis of periapical rarefying osteitis, and the three teeth were thus extracted. Views Read Edit View history.

Periapical Cemento-osseous Dysplasia: Clinicopathological Features

This case demonstrates the importance of a full investigation when a patient presents after tooth extraction with non-healing socket, pain, and swelling. COD more usually occurs in the mandible, both in tooth-bearing and edentulous areas, but may occasionally occur in the maxilla.


The lesions exhibited well-defined, sclerotic or corticated margins patients [ 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. Due to the persistence of swelling and slight pain post-extraction, a cone-beam computed tomographic scan was taken; this showed a mixed radiotransparent and radio-opaque lesion in the area of the extracted teeth.

In this retrospective analysis, Report of a case documented with clinical, radiographic, biochemical and histological findings.

Periapical cemento-osseous dysplasia: clinicopathological features.

Florid osseous dysplasia in Orientals. The therapeutic approach to periapical COD is conservative, and consists of periodic clinical and radiographic check-ups 16 ; it has been suggested that resection of the lesion may be reserved for cases with an obvious state of chronic inflammation, or those that are characterized by repeated abscesses, which may involve the risk of developing chronic sclerosing osteomyelitis.

The lesions may be single or multiple, asymptomatic and do not involve alterations to the periodontal tissue. References [ edit ] Kahn, Michael A.

A clinical and histopathologic dyspplasia of fifteen cases. Intra-oral examination revealed normal oral mucosa, good oral hygiene with minimal gingival inflammation, mm dys;lasia pockets were found proximal to the maxillary posterior teeth with the deepest on the distal aspect of the maxillary left first molar, tooth wear was noticed on the dysplasiia surfaces of the anterior teeth, and multiple restorative treatments mainly in the maxillary teeth.

The diagnosis was based on clinical and radiographic features only. The remaining teeth in the adjacent region had meanwhile fractured. Focal cemento-osseous dysplasia involving a mandibular lateral incisor.

Advanced imaging was performed in cases where conventional radiographs did not suggest the definitive diagnosis, in cases where a simple bone cyst was identified and those in which osteomyelitis was suspected. Histological examination revealed multiple small fragments of cementum-like substances characterized by islands of calcified deposits and areas of loose fibrocollagenous stroma Figure 3 ; the latter showed evidence of proliferation. The patient was informed and reassured about her condition and the possibility of familial pattern, OPT was requested for her son and daughter, but no similar findings were evident.


Diffuse sclerosing osteomyelitis and florid osseous dysplasia. This condition is a primary inflammatory condition involving the body of the mandible from ossseous alveolus to the inferior border and may extend into the ramus, cyclic episodes of cemetno pain and swelling are features of the condition.

Clinicopathologic study of cemento-osseous dysplasia producing cysts of the mandible.

We present a rare case of mandibular PCOD in a woman of 55 years, who presented with moderate swelling and mobility of teeth Computed Tomography was requested at the same time in which shows cmeento slight buccal expansion of the molar region the left side of the mandible as appeared in the osselus and vertical sections Figure 5. Am J Clin Pathol Suppl: 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 Endoral radiography showed osseohs these teeth had been devitalized; they had deep periodontal pockets and marked radicular radiotransparency; the root apices exhibited mixed radiotransparency and radio-opacity.

Introduction The WHO report describes Cemento-Osseous Dysplasias CODs as a variety of jaw lesions that are characterized histologically by the presence of cementum-like tissue, and which appear to be dysplasias rather than neoplasms.

Speight PM, Carlos R.

Extensive surgical resection and saucerization have been proposed as treatment options when lesions become extensive and symptomatic The data lsseous analyzed using SPSS software version For all but 3 of the patients, clinical features had been recorded. Vitality tests are thus especially important for differential diagnosis, to clarify any possible doubt. Cemento-osseous dysplasia cemdnto associated simple bone cysts.

Essentially, these underlying disorders all involve the same pathological process. Univariate analysis of the data involved descriptive statistics i. Sclerotic cemental masses of the jaws so-called chronic sclerosing osteomyelitis, sclerosing osteitis, multiple enostosis, and gigantiform cementoma.

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