Recurrent symptomatic cemento-osseous dysplasia: A case report

Area of Science:

• Oral and Maxillofacial Surgery
• Pathology
• Radiology

Background:

• Cemento-osseous dysplasia (COD) is a benign fibro-osseous lesion characterized by the replacement of normal bone with fibrous tissue and calcifications.
• COD is categorized into periapical, focal, and florid COD (FCOD) based on location.
• Florid cemento-osseous dysplasia typically presents as asymptomatic and self-limiting, often not requiring treatment.

Observation:

• Radiographically, FCOD exhibits early radiolucency that progresses to a mixed radiolucent-radiopaque appearance with maturation.
• This case highlights a symptomatic FCOD presentation following a dental restoration procedure.
• Symptoms persisted despite multiple surgical interventions.

Findings:

• Secondary infection is the most common cause of symptomatic FCOD.
• The reported case illustrates a rare instance of persistent symptoms post-dental restoration.
• Pre-treatment radiological assessment is vital for managing FCOD.

Implications:

• Emphasizes the necessity of comprehensive radiological evaluation prior to any dental procedures in patients with FCOD.
• Underscores the potential for FCOD to become symptomatic, particularly after dental interventions.
• Highlights the importance of accurate diagnosis and treatment planning to avoid complications and prolonged patient suffering.