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

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Radiographically evident changes to the internal radiolucency or radiopacity of these entities occur over time. Gen Dent 44 4: Epub Aug J Oral Maxillofac Radiol ;2: This article has been peer reviewed. The lower first left molar appears to serve as a satisfactory amalgam filling. Florid cemento-osseous dysplasia FCOD has been described as cemento-oseeous condition that typically affects middle-aged black women, and usually manifests as multiple radiopaque cementum-like masses distributed throughout the jaws.

The lesions in such cases may have had an unusual appearance and may therefore have been more challenging for practitioners outside the field of oral and maxillofacial radiology. This evolution may take months or years, and during its development, the diameter of the lesion increases from 0.

Diagnosis of periapical COD can be formulated on the basis of the lesion’s typical histopathological and clinical characteristics. It was, thus, decided to construct an overdenture supported cemenfo-osseous ball-attachments.

This deposition may occur because of poor vascularity of the altered dysplastic tissue when there is communication with the oral cavity.

Florid cemento osseous dysplasia: 15-years clinical and radiographic follow-up.

The subsequent radiographic findings follow the maturation pattern of FCOD, and the lesions are confined within the alveolus at a xemento-osseous corresponding to the roots of the teeth, above the inferior alveolar canal. By using this site, you agree to the Terms of Use and Privacy Policy. FCOD is, usually, found during routine radiographic examination. None of her family reported to have similar conditions. A clinicopathologic study of cases.

Cemento-osseous dysplasia in an elderly Asian male: Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. Florid cemento-osseous dysplasia in Orientals.


Cemeto-osseous dysplasia, a radiological mimic of periapical dental abscess. The prevalent lesion site is the anterior region of the mandible, in the vicinity of the root apex of the mandibular incisors and canines, and the teeth involved remain vital 45.

Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws. Minor radiolucency could be recognized around the roots while the high dense deposit within the bone is obvious at the mandibular associated lesions.

Periapical Cemento-osseous Dysplasia: Clinicopathological Features

The patient entered a six-monthly follow-up program, later reduced to annual checkups. Epub Jan Pathology of the maxilla and mandible Musculoskeletal disease stubs.

The lesions differ in their clinical manifestations and biological behavior, and should, thus, be managed by different approaches. The average diameter at the time of first radiological examination has been given as 1. Unfortunately, none of these authors 2,22 reported the frequencies or proportions of individual radiographic features. It can be diagnosed by radiographic appearance.

The young age of some individuals cemento-ossekus the current study may reflect the radiographic basis of the study.

A definitive diagnosis of COD was established by means of histopathological examination combined with the radiographic findings, which showed multiple radiolucent and radiopaque lesions in the mandibular teeth. The cementum-like substances were mainly acellular in structure; there were no signs of free hemorrhage or osteoclastic activity. We present a rare case of mandibular PCOD in a woman of 55 years, who presented with moderate swelling and mobility of teeth Cases were selected on the basis of the definitive diagnosis, by 1 of 2 specialists in oral and maxillofacial radiology, at the time of original treatment i.

A study of patients with cementomas. The cone beam computed tomography axial section of the patient showing expansion of alveolar bone white arrow Click here to view.

Clinical and radiographic features are diagnostic for FCOD, cemsnto-osseous is almost always asymptomatic and nonexpanding, usually discovered incidentally on routine dental radiographs. Retrieved from ” https: Intra-oral examination revealed normal oral mucosa, good oral hygiene with minimal gingival inflammation, mm periodontal 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 incisal surfaces of the anterior teeth, and multiple restorative treatments mainly in dypslasia maxillary teeth.


Osseous (cemento-osseous) dysplasia of the jaws: clinical and radiographic analysis.

Clinico-radiographic evaluation of simple bone cyst accompanied by radiopaque lesions. The intraoral radiograph of the area showed deep periodontal pockets and mobility; it was thus decided to extract these three teeth Figure 1. OA Dentistry Oct 01;1 1: According to the classification system introduced by the Revised World Health Organization Cemento-soseous Guidelines, Cemento-Osseous Dysplasia is categorized as a form of neoplasm or other bone-related lesion; it can be sub-divided into periapical cemental dysplasia PCDcemenho-osseous known as periapical fibrous dysplasia, florid COD also known as gigantiform cementoma or cemento-owseous multiple cementoma and other types of COD 23.

Of these cases, 4 were related to an edentulous area. You can help Wikipedia by expanding it. None, Conflict of Interest: Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas.

Clinicopathologic study of cemento-osseous dysplasia producing cysts of the mandible. This report describes a case of periapical COD and discusses differential diagnosis.

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. The lesions may be single cemento-osseius multiple, asymptomatic and do not involve alterations to the periodontal tissue.

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. Cemennto-osseous majority of the patients in this study were female, and although they ranged in age from 13 to 73 years, the mean age for the female patients was Treatment and diagnosis [ edit ] There is no treatment necessary for any type of COD.