Journal List > J Korean Assoc Oral Maxillofac Surg > v.37(6) > 1032512

J Korean Assoc Oral Maxillofac Surg. 2011 Dec;37(6):515-519. Korean.
Published online December 27, 2011.  https://doi.org/10.5125/jkaoms.2011.37.6.515
Copyright © 2011 by The Korean Association of Oral and Maxillofacial Surgeons
Florid cemento-osseous dysplasia: a report of two cases
Nam-Kyun Kim,1 Hyun-Sil Kim,2 Jin Kim,2 Woong Nam,1 In-Ho Cha,1 and Hyung-Jun Kim1
1Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea.
2Department of Oral Pathology, Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea.

Corresponding author: Hyung-Jun Kim. Department of Oral and Maxillofacial Surgery, Oral Cancer Research Institute, College of Dentistry, Yonsei University, 250, Sungsan-no, Seodaemun-gu, Seoul 120-752, Korea. TEL: +82-2-2228-3132, FAX: +82-2-364-0992, Email: kimoms@yuhs.ac
Received June 24, 2011; Revised August 30, 2011; Accepted October 12, 2011.

Abstract

Cemento-osseous dysplasia occurs in the tooth bearing areas of the jaws and is probably the most common fibro-osseous manifestation. They are usually classified into three main groups according to their extent and radiographic appearance: periapical (surrounds the periapical region of teeth and are bilateral), focal (single lesion) and florid (scleroticsymmetrical masses) cemental-osseous dysplasias. Florid cemento-osseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to the jaws. Patients do not have laboratory or radiologic evidence of bone disease in other parts of the skeleton. For asymptomatic patients, the best management consists of regular recall examinations with prophylaxis and the reinforcement of good home hygiene care to control periodontal disease and prevent tooth loss. The treatment of symptomatic patients is more difficult. At this stage, there is an inflammatory component caused by the disease and the process is basically a chronic osteomyelitis involving dysplastic bone and cementum. Antibiotics might be suggested, but are not always effective. Two cases of florid cemento-osseous dysplasia diagnosed in two Korean females are reported with a review of the relevant literature.

Keywords: Cemento-osseous dysplasia; Periapical cemental dysplasia; Focal cemento-osseoous dysplasia; Florid cemento-osseous dysplasia

Figures


Fig. 1
Pre-operation. Panoramic (A), periapical view (B), computer tomography findings (Ca, Cb) demonstrated multiple radiopaque/radiolucent admixed lesions on maxilla and mandible.
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Fig. 2
Microscopic features showed dense immature bony tissue with concentric calcification (H & E staining, ×100).
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Fig. 3
Post-operation. Panoramic view (2 months) showed good healing state.
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Fig. 4
Pre-operation. Panoramic (A), periapical view (B), computer tomography findings (Ca, Cb) demonstrated multiple radiopaque/radiolucent admixed lesion on maxilla and mandible.
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Fig. 5
Microscopic features showed spherical and irregular calcified structures (H & E staining, ×100).
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Fig. 6
Post-operation. Panoramic view (4 years) showed radiopaque/radiolucent admixed lesion still remained on maxilla and mandible.
Click for larger image

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