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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Computed Tomography was requested at the same time in which shows a slight buccal expansion of the molar region the left side of the mandible as appeared in the horizontal and ecmento-osseous sections Figure 5.

Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. OPT image revealed increased opacities of the lesion mainly in the left molar region.

Minor radiolucency could be recognized around the roots while the high dense deposit within the bone is obvious at the mandibular associated lesions. A clinical and radiologic spectrum of cases.

Cemento-osseous dysplasia in Jamaica: Of the patients for whom age and sex were known, the majority 97 [ This report describes a case of periapical COD and discusses differential diagnosis.

Radiologically, the appearance of the lesion thus depends on the moment of observation. In the current study, occlusal radiographs were not available for all cases, and bony expansion could not be comprehensively analyzed. The left mandibular first molar was vital despite the radiolucency around the roots. It cejento-osseous most common in African-American females.

The patient entered a six-monthly follow-up program, later reduced to annual checkups.

Periapical Cemento-osseous Dysplasia: Clinicopathological Features

The prevalence of benign fibro-osseous lesions of periodontal ligament origin in black women: The mobility of teeth, the severe periodontitis, the ccemento-osseous of signs of inflammation, and the slight pain reported by the patient, lead us to extract the three teeth involved; the subsequent persistence of swelling then indicated a biopsy should be taken, and this established the diagnosis. The lesions differ in their clinical manifestations and biological behavior, and should, thus, be managed by different approaches.


Presumably, less complex cases are easily managed by general practitioners, without the need to consult an oral and maxillofacial radiologist. 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.

Although they affect only a small number of patients, the potential for complications of this type to arise because of exposure through tooth extraction sites, bone loss from periodontal disease or implant placement should be recognized. Clinical, radiographic, and histological findings of florid cemento-osseous dysplasia: A commentary on the second edition. It encompasses a broad range of conditions, the diagnosis of which can be both challenging and confusing.

Alert me to new issues of Anticancer Research. J Tenn Dent Assoc Diagnosis is important so that the treating doctor does not confuse it for another periapical disease such as rarefying osteitis or condensing osteitis. The majority dysplasiw patients in the current study In the mixed radiolucent—radiopaque stage and the radiopaque stage, the differential diagnosis might include cemento-osseoux sclerosing osteomyelitis, cemento-ossifying fibroma, odontoma and osteoblastoma.

J Oral Maxillofac Surg. Periapical cemento-osseous dysplasia PCOD is a rare benign lesion, often asymptomatic, in which fibrous tissue replaces the normal bone tissue, with metaplasic bone and neo-formed cement. The maxillary left first molar was symptomless.

Cemento-osseous dysplasia – Wikipedia

Histological appearance of FCOD showed large sheets or fused globules of cemento-osseous tissue, which may be fused to the roots of one or more teeth or may lay separately. In the third patient, secondary osteomyelitis developed.

Florid COD is characterized by multifocal involvement of the jaw. How to cite this URL: 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. Clinicopathologic study of cemento-osseous dysplasia producing cysts of the mandible. These findings may reflect the nature of the referral centre from which the cases were drawn. Figure 2 shows the OPT in which revealed the same symmetrical bilateral sclerotic masses in the mandible but with increasing of the radio-opacity in comparison with the OPT in Distinguishing features of focal cemento-osseous dysplasias and cemento-ossifying fibromas: Korean J Oral Maxillofac Radiol.


Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. Services Email this article to a friend Alert me when this article is cited Alert me if a correction is posted Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Download to cemento-osseou manager.

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

A clinical and histopathologic study of fifteen cases. Orthopantomograph OPT was requested and revealed multiple bilateral radiolucent-radiopaque sclerotic masses apical to the majority of mandibular teeth with no evidence of root resorption, dental caries was noted at the distal surface of the left mandibular first molar, poor endodontic treatment of the maxillary left first molar, generalized mild to moderate cemnto-osseous bone loss Figure 1.

Of the patients, age and sex were known for all but one person. Biopsy specimens were sent to the Department of Oral Pathology, where sections were cut and prepared conventionally, and stained with hematoxylin and eosin.

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

The diagnosis, treatment and 1 year follow-up after surgery are reported. The lesion becomes a calcified mass that can reach 10 cm in diameter, and is often surrounded by a radiolucent halo.

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. Radiographically, the lesions appear as multiple sclerotic masses in the tooth-bearing regions which usually affect the mandible on both sides in a symmetrical manner, but all four quadrants may be involved, it presents as multiple radiopaque lesions that fuse into lobulated sclerotic masses.

Extensive surgical resection and saucerization have been proposed as treatment options when lesions become extensive and symptomatic A copy of the written consent is available for review by the Editor-in-Chief of this journal.