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[Florid cemento-osseous dysplasia: A case report]
1Department of Stomatology, Peking University International Hospital, Beijing 102206, China.
Summary
This case study highlights florid cemento-osseous dysplasia (FLCOD), a benign jaw lesion, in a 45-year-old Asian female. The study details its radiographic stages and emphasizes long-term surveillance for asymptomatic cases.
Area of Science:
- Oral and Maxillofacial Pathology
- Dental Radiology
- Fibro-osseous Lesions
Background:
- Cemento-osseous dysplasia (COD) is a rare, benign fibro-osseous lesion of the jaws.
- Florid cemento-osseous dysplasia (FLCOD) is a specific manifestation characterized by extensive cementum-like tissue deposition.
- FLCOD typically affects middle-aged women and is often discovered incidentally on radiographs.
Purpose of the Study:
- To present a case of FLCOD in a 45-year-old Asian female.
- To illustrate the concurrent radiographic stages of COD within a single patient.
- To discuss the diagnostic challenges and management of FLCOD.
Main Methods:
- Case report of a 45-year-old Asian female with FLCOD.
- Radiographic evaluation including Cone Beam Computed Tomography (CBCT).
- Differential diagnosis to exclude other fibro-osseous lesions and periapical pathosis.
Main Results:
- CBCT revealed multifocal lesions with characteristic radiopacities and radiolucent rims in the mandibular posterior regions.
- Three distinct radiographic stages of COD (osteolytic, intermediate, mature) were observed simultaneously.
- The patient remained asymptomatic with stable lesions during a 12-month follow-up.
Conclusions:
- FLCOD presents classic radiographic features, often discovered incidentally.
- CBCT is crucial for accurate diagnosis and delineation of FLCOD.
- Long-term surveillance is recommended for asymptomatic, non-progressive FLCOD, avoiding invasive procedures.
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