The patient in this report can be considered as a rare case with regard to race distribution. May 31, 2020 focal cementoosseous dysplasia fcod is a benign fibroosseous lesion which changes cancellous bone tissue with each fibrous tissue and. Cementoosseous dysplasia cod is a benign fibroosseous lesion which encompasses three subgroups, namely periapical, focal and florid. This case report demonstrates an unnecessary endodontic treatment of teeth with florid cementoosseous dysplasia fcod due to a misdiagnosis as periapical. During these stages the lesion can be misdiagnosed. Jul 01, 1999 focal cementoosseous dysplasia cod is a benign fibroosseous lesion of the jaws that has received scant attention in the literature. Florid cementoosseous dysplasia genetic and rare diseases.
The authors report cemenho commercial, proprietary or financial interest in the products or companies described in this article. We report a case of an unusual presentation of cementoosseous dysplasia in a yearold female which posed a diagnostic dilemma clinically and histopathologically, due to its close resemblance to cementoossifying fibroma. Focal cod fcod usually affects the posterior toothbearing area or edentulous alveolar process and typically presents as an asymptomatic lesion diagnosed. Florid cementoosseous dysplasia clearly appears to. May 28, 2019 lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. Jul 26, 2020 florid cementoosseous dysplasia mimicking crmentoosseous periapical pathologyan endodontic dilemma. Here, we present a 30year old female who noticed a bilateral swelling of her posterior mandible with irregular periapical mineralization and incomplete root resorption on panoramic radiographs. Cemento osseous dysplasias dental anatomy medical specialties. Cemento osseous dysplasia is categorized into three subtypes on the basis of the clinical and radiographic features. An unusual case of focal cementoosseous dysplasia occupying nearly the entire maxillary sinus and arising from adjacent tissue of fused teeth. Journal of oral and maxillofacial surgery, medicine, and pathology.
The lesion reveals a painless course, very often only discovered during routine radiologic examination. Focally expressed cemento osseous dysplasia periapical cementoosseous. Distinguishing features of focal cementoosseous dysplasias and. In 1994, the term focal cementoosseous dysplasia was suggested by summerlin and tomich11 based primarily on location of the cemental dysplasia. Focal cemento osseous dysplasia is thought to be of periodontal ligament origin and to. Authors agree that it is inherited as autosomal dominant trait. Nov 27, 2018 1periapical cementoosseous dysplasia pcod 2 focal cementoosseous dysplasia fcod two different terms for the same reactive lesion, that represent the most common fibroosseous lesions of the jaws all of the cementoosseous dysplasias have similarsame microscopic appearance 3. The features of fcod are less specific and often mandate. Lesions are usually asymptomatic and display limited growth potential, rarely exceeding 2 cm in size. It appears predominantly in black and asian middleaged females.
Focal cementoosseous dysplasia is thought to be of periodontal ligament origin and to be nonneoplastic in. Aug 28, 2019 focal cementoosseous dysplasia seems to compose only a displwsia and still initial form of florid cementoosseous dysplasia, but it is not a new clinical entity or disease. These tissues lack normal cellular components and contain fibrous connective tissues. Cementoosseous dysplasia cod of the jaw is a benign fibroosseous lesion that is subdivided into three types, periapical, focal, and florid, based on the clinical and radiologic features. The three types are periapical cemental dysplasia common in those of african descent, focal cementoosseous dysplasia caucasians, and florid cementoosseous. Cemento osseous dysplasia pdf old world pdf baskets. A group of 221 cementoosseous lesions exhibited sufficiently distinctive clinicopathologic features to be separated into a specific category. Fibroosseous lesions of the jaw include fibrous dysplasia, ossifying fibroma, and cemento osseous dysplasia cod. Difficulties in the diagnosis of periapical translucencies. It is mostly asymptomatic in nature and requires no treatment. Focal cementoosseous dysplasia gumusok m, alkurt mt, hamurcu. The databases searched were the pubmed interface of medline and lilacs literature index for latinamerica and the caribbean. Fibroosseous lesions of the jaws include fibrous dysplasia, ossifying fibroma, and cementoosseous dysplasia cod.
Cementoosseous dysplasia pdf amaryl lids to download pdf. Cod occurs in the toothbearing areas of the jaws and is probably the most common fibroosseous lesion encountered in clinical practice. Apr 21, 2020 florid cementoosseous dysplasia fcod is a type of fibroosseous lesion and represents a reactive process in which normal bone is replaced by poorly. Focal cementoosseous dysplasia this is a temporary file and hence do not link it from a website, instead link the url of this page if you wish to link the pdf file. Sbc has been reported to occur with fibrousosseous lesions, including cemento osseous dysplasia cod. It occurs predominantly in the posterior mandible associated with vital teeth. People with fcod develop lesions in the jaw, were spots of normal bone are replaced with a mix of connective tissue and abnormal bone. Epub aug cementoosseous dysplasia of the jaws in 54 cementoosseou patients. Sep 21, 2020 cementoosseous dysplasia cod is the most common benign fibroosseous lesion of the jaws and generally considered nonneoplastic and selflimited. Focal osseous dysplasia or focal cemento osseous dysplasia fcod. Cementoosseous dysplasia pdf to download pdf you need. Download pdf journal of oral and maxillofacial radiology. Focal cementoosseous dysplasia is a benign fibroosseous condition that can be seen in dentate and edentulous patients. Toothbearing areas of posterior jaws, particularly in extraction sites, were described as common sites for focal cementoosseous dysplasia.
Its importance is that it could mimic a periapical lesion in the early, translucent stage. Alternative names for foccod were used as search terms. Oct 21, 2020 lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. Fluoroid cementoosseous dysplasia however, means the multifocal wide involvement of chins by the lesions with the same histological appearance of periapical cementoosseous dysplasia and fcod. Fibro osseous lesions classifications, pathophysiology and. Focal cementoosseous dysplasia in the maxilla mimicking.
Osteosarcoma of the mandible in a patient with florid. A complete or partial radiolucent rim was noted in osseoous few reports 12,22 and a sclerotic border has been less frequently reported 2,14,22 fig. Expansive focal cementoosseous dysplasia the journal of. Classification of cementoosseous lesions of the jaws has long been a.
Florid cementoosseous dysplasia fcod belongs to the group of fibroosseous lesions in which normal bone is replaced by fibrous. It is an asymptomatic lesion and needs no treatment. Cementoosseous dysplasia florid florid cementoosseous dysplasia is characterized as a benign fibroosseous lesion that replaces the normal bony tissues with poorly formed cementumlike tissues through a reactive process. Florid cementoosseous dysplasiaassociated simple bone cyst. Jul 10, 2019 background cementoosseous dysplasia is a benign fibroosseous lesion of the toothbearing region of the jaws with a periodontal ligament origin. Localized fibroosseouscemental lesions pro bably reactive in nature c. Jan 30, 2020 osseous cementoosseous dysplasia of the jaws. Cemento ossifying fibroma is a rare, benign fibroosseous lesion that arises from the periodontal ligament.
Osteosarcoma of the mandible in a patient with florid cemento. Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. Classification of cementoosseous lesions of the jaws has long been a dilemma for pathologists. Focal cementoosseous dysplasia fcod is a benign fibroosseous lesion of bone characterized by the replacement of normal bone by fibrous tissue and subsequently followed by its calcification with osseous and cementumlike material. The second group is focal cementoosseous dysplasia, or focal cod, and it usually appears as a small solitary lesion in the posterior mandible, or back part of the lower jaw. Florid cementosseous dysplasia of maxilla and mandible. Lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. Florid cementoosseous dysplasia is a dysplastic form of bone and cemental tissue and res tricted in jaws.
Focal cementoosseous dysplasia and periapical cementoosseous dysplasia are two terms that state same pathologic processes in different localizations. Jun 20, 2020 lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. It is linked to one tooth, appears in the molar region in the toothbearing or edentulous area. Pdf focal cemento osseous dysplasia fcod is a benign fibroosseous condition that can be seen in dentulous and edentulous patients. Focal cemento osseous dysplasia fcod is a benign fibroosseous lesion which changes cancellous bone tissue with each fibrous tissue and. Simultaneous presentation of focal cementoosseous dysplasia. Premolar and molar regions of the mandible are involved more often than the maxilla. Clinically, the lesion resembled periapical pathosis of odontogenic origin. Misdiagnosis of florid cementoosseous dysplasia leading to. An unusual case of focal cementoosseous dysplasia occupying. Jan 08, 2020 florid cementoosseous dysplasia may be familial with an autosomal dominant inheritance pattern, but there are only a few examples in the literature in which the familial pattern has been confirmed 1,8, biochemical analysis of serum alkaline phosphatase, calcium and phosphorus were carried out for differential diagnosis with pagets disease and were shown to be within the normal limits. Cementoosseous dysplasia, a radiological mimic of periapical dental abscess.
Dysplasias occurs in tooth bearing areas most common fibroosseous lesion divided into 3 groups i. Nov 26, 2003 aim to report a case of focal cemento. 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. To date, 221 cases of focal cod have been documented, of which 77% occurred in the mandible. Cementoosseous dysplasia is a group of disorders known to originate from periodontal ligament tissues.
Cementoosseous dysplasia cod is a benign condition of the jaws that may arise from the fibroblasts of. A case of focal cementoosseous dysplasia of the maxilla in a 19yearold man is reported. Jul 04, 2019 focal cementoosseous dysplasia fcod is a benign fibroosseous lesion which changes cancellous bone tissue with each fibrous tissue and. Focal cementoosseous dysplasia gumusok m, alkurt mt. Cementoosseous dysplasia is another variant of fibroosseous lesion which commonly involves mandible of females. Focal cementoosseous dysplasia focal cod displays a discrete, single site of involvement in any region of the alveolar process.
Florid cementoosseous dysplasia is one of the terms that have been designated by the world health organization as cementoosseous. Distinguishing features of focal cementoosseous dysplasia and cementoossifying. Pdf focal cementoosseous dysplasia fcod is a benign fibroosseous condition that can be seen in dentulous and edentulous patients. Focal cementoosseous dysplasia of mandible bmj case reports. Case presentation in this report a rare case of familial cementoosseous dysplasia is. Apr 10, 2021 lesions classified as cementoosseous dysplasia cod largely encompass three different subgroups. The dysplastic lesions were identified as focal or periapical odcod on the basis of location only i. Ct images showed a lowdensity lesion in the periapical areas of the right mandible, which. Typically, the lesion develops through three phases. Nov 01, 2015 florid cementoosseous dysplasia and chronic diffuse osteomyelitis.
1165 1158 1665 1557 782 672 1070 1117 162 1273 709 189 1012 564 1248 1708 1593 442 873 1092 1707 185 913 1523