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Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report
INTRODUCTION: Cemento-osseous dysplasia is a jaw disorder characterized by a reactive process in which normal bone is replaced by connective tissue matrix. There are different Cemento-osseous dysplasia entities. The treatment of these lesions, once diagnosed by radiology, is not required because gen...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medicina Oral S.L.
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923893/ https://www.ncbi.nlm.nih.gov/pubmed/29721232 http://dx.doi.org/10.4317/jced.54577 |
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author | Aiuto, Riccardo Gucciardino, Federico Rapetti, Roberta Siervo, Sandro Bianch, Andrea-Edoardo |
author_facet | Aiuto, Riccardo Gucciardino, Federico Rapetti, Roberta Siervo, Sandro Bianch, Andrea-Edoardo |
author_sort | Aiuto, Riccardo |
collection | PubMed |
description | INTRODUCTION: Cemento-osseous dysplasia is a jaw disorder characterized by a reactive process in which normal bone is replaced by connective tissue matrix. There are different Cemento-osseous dysplasia entities. The treatment of these lesions, once diagnosed by radiology, is not required because generally they are asymptomatic. The localization is in the tooth-bearing areas of the jaws and its distribution is symmetric. CASE REPORTS: In this case report, a 57-year-old Caucasian female patient was referred to our attention complaining of painful inflammatory events localized in the right angle of the jaw. The radiographic appearance, the distribution of several lesions and the positive vitality test of the involved teeth, supported the diagnosis of Florid Cemento-osseous dysplasia. Because of the symptomatology, the patient was submitted to surgery and the lesion and the second inferior right molar were removed. The histological examination of the specimens confirmed the diagnosis. DISCUSSION: Many lesions that may exhibit a similar sclerotic appearance on conventional radiographs have to be differentiated and dental imaging can be used to discriminate between Florid COD and other lesions. Diagnosis of Florid Cemento-osseous dysplasia can be made with accurate clinical and radiographic assessment. In asymptomatic cases no treatment is required and the patient should have regular follow-up, but in this symptomatic case it was necessary to proceed with surgical intervention. The surgery treatment in the symptomatic case had a favourable prognosis and the two years follow-up has shown a complete healing. Given the abow, it is concluded that the choice of treatment must be selective according to the disease sites. Key words:Cemento-ossifying dysplasia, fibro-osseous lesions, florid cemento-osseous dysplasia, cementoma. |
format | Online Article Text |
id | pubmed-5923893 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medicina Oral S.L. |
record_format | MEDLINE/PubMed |
spelling | pubmed-59238932018-05-02 Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report Aiuto, Riccardo Gucciardino, Federico Rapetti, Roberta Siervo, Sandro Bianch, Andrea-Edoardo J Clin Exp Dent Case Report INTRODUCTION: Cemento-osseous dysplasia is a jaw disorder characterized by a reactive process in which normal bone is replaced by connective tissue matrix. There are different Cemento-osseous dysplasia entities. The treatment of these lesions, once diagnosed by radiology, is not required because generally they are asymptomatic. The localization is in the tooth-bearing areas of the jaws and its distribution is symmetric. CASE REPORTS: In this case report, a 57-year-old Caucasian female patient was referred to our attention complaining of painful inflammatory events localized in the right angle of the jaw. The radiographic appearance, the distribution of several lesions and the positive vitality test of the involved teeth, supported the diagnosis of Florid Cemento-osseous dysplasia. Because of the symptomatology, the patient was submitted to surgery and the lesion and the second inferior right molar were removed. The histological examination of the specimens confirmed the diagnosis. DISCUSSION: Many lesions that may exhibit a similar sclerotic appearance on conventional radiographs have to be differentiated and dental imaging can be used to discriminate between Florid COD and other lesions. Diagnosis of Florid Cemento-osseous dysplasia can be made with accurate clinical and radiographic assessment. In asymptomatic cases no treatment is required and the patient should have regular follow-up, but in this symptomatic case it was necessary to proceed with surgical intervention. The surgery treatment in the symptomatic case had a favourable prognosis and the two years follow-up has shown a complete healing. Given the abow, it is concluded that the choice of treatment must be selective according to the disease sites. Key words:Cemento-ossifying dysplasia, fibro-osseous lesions, florid cemento-osseous dysplasia, cementoma. Medicina Oral S.L. 2018-03-01 /pmc/articles/PMC5923893/ /pubmed/29721232 http://dx.doi.org/10.4317/jced.54577 Text en Copyright: © 2018 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Aiuto, Riccardo Gucciardino, Federico Rapetti, Roberta Siervo, Sandro Bianch, Andrea-Edoardo Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report |
title | Management of symptomatic florid cemento-osseous dysplasia:
Literature review and a case report |
title_full | Management of symptomatic florid cemento-osseous dysplasia:
Literature review and a case report |
title_fullStr | Management of symptomatic florid cemento-osseous dysplasia:
Literature review and a case report |
title_full_unstemmed | Management of symptomatic florid cemento-osseous dysplasia:
Literature review and a case report |
title_short | Management of symptomatic florid cemento-osseous dysplasia:
Literature review and a case report |
title_sort | management of symptomatic florid cemento-osseous dysplasia:
literature review and a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923893/ https://www.ncbi.nlm.nih.gov/pubmed/29721232 http://dx.doi.org/10.4317/jced.54577 |
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