J Korean Assoc Oral Maxillofac Surg.  2011 Dec;37(6):515-519. 10.5125/jkaoms.2011.37.6.515.

Florid cemento-osseous dysplasia: a report of two cases

• Kim NK
• Kim HS
• Kim J
• Nam W
• Cha IH
• Kim HJ

• KMID: 2136990
• DOI: http://doi.org/10.5125/jkaoms.2011.37.6.515

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.

Keyword

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

MeSH Terms

Anti-Bacterial Agents
Bone Diseases
Dental Cementum
Female
Fibrous Dysplasia of Bone
Humans
Hygiene
Jaw
Osteomyelitis
Periodontal Diseases
Reinforcement (Psychology)
Skeleton
Tooth
Tooth Loss
Ursidae
Anti-Bacterial Agents
Fibrous Dysplasia of Bone
Osteomyelitis

Figure

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  Fig. 1. Pre-operation. Panoramic (A), periapical view (B), computer tomography findings (Ca, Cb) demonstrated multiple radiopaque/radiolucent admixed lesions on maxilla and mandible. Nam-Kyun Kim et al: Florid cemento-osseous dysplasia: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2011

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  Fig. 2. Microscopic features showed dense immature bony tissue with concentric calcification (H & E staining, x100). Nam-Kyun Kim et al: Florid cemento-osseous dysplasia: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2011

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  Fig. 3. Post-operation. Panoramic view (2 months) showed good healing state. Nam-Kyun Kim et al: Florid cemento-osseous dysplasia: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2011

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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. Nam-Kyun Kim et al: Florid cemento-osseous dysplasia: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2011

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  Fig. 5. Microscopic features showed spherical and irregular calcified structures (H & E staining, x100). Nam-Kyun Kim et al: Florid cemento-osseous dysplasia: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2011

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  Fig. 6. Post-operation. Panoramic view (4 years) showed radiopaque/ radiolucent admixed lesion still remained on maxilla and mandible. Nam-Kyun Kim et al: Florid cemento-osseous dysplasia: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2011

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