Focal cemento-osseous dysplasia
S Shamala Ravikumar1, G Vasupradha1, T R Menaka1
1Department of Oral and Maxillofacial Pathology, Adhiparasakthi Dental College and Hospital, Kanchipuram, Tamil Nadu, India.
Journal of Oral and Maxillofacial Pathology : JOMFP
|March 20, 2020
Summary
Focal cemento-osseous dysplasia (FCOD), a benign bone lesion, is usually asymptomatic. This case highlights a symptomatic FCOD of the mandible requiring intervention and diagnosis via histopathology.
Area of Science:
- Oral and Maxillofacial Pathology
- Bone Biology
- Dental Radiology
Background:
- Focal cemento-osseous dysplasia (FCOD) is a common benign fibro-osseous lesion.
- Typically, FCOD is asymptomatic and requires no intervention.
- Secondary infection can render FCOD symptomatic, necessitating treatment.
Observation:
- A 52-year-old female presented with symptomatic FCOD of the mandible.
- The lesion was characterized by replacement of normal bone with fibrous tissue and calcifications.
- Clinical presentation indicated a need for diagnostic evaluation.
Findings:
- Histopathological examination of biopsy specimens confirmed the diagnosis of FCOD.
- Ground sections and decalcified sections were crucial for detailed analysis.
- Microscopic features revealed characteristic fibro-osseous and cementum-like material.
Implications:
- This case underscores the importance of histopathological evaluation for symptomatic FCOD.
- Accurate diagnosis is essential for appropriate management of mandibular bone lesions.
- Understanding FCOD's progression aids in clinical decision-making for benign fibro-osseous conditions.
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