Meeting Abstract
BibTex RIS Cite

Clinic and Radiographic Evaluation of Cemento-osseous Dysplasia: Case Series

Year 2022, Volume: 49 Issue: Suppl 1, 4 - 7, 31.08.2022
https://doi.org/10.52037/eads.2022.0012

Abstract

Aim: Cemento-osseous dysplasia (COD) is usually asymptomatic and slowly progressive benign fibro-osseous lesion characterized by the replacement of normal bone with fibrous tissue. The aim of this presentation is to evaluate the clinical and radiographical findings of six COD cases that were detected incidentally during radiographic examination.
Case Report: Six female patients who four (%66) of them with different dental complaints and two (%33) of them for routine control examination of the previously diagnosed COD with a mean age of 38 applied to our clinic. It was learned that the patients did not have any systemic disorders in their medical anamnesis. There is not any finding on extraoral examination. In intraoral examination, teeth associated with COD lesions were vital as a result of the electric pulp test, and there is no other finding related to the lesion. In the radiography examination, different sizes radiolucent, mixed, and radiopaque lesions were detected in the mandible on control panoramic radiographs. The lesions were examined in detail with cone-beam computed tomography. Local thinning and resorption were observed in the buccal and lingual cortical bone in the relevant region. Histopathological examination revealed that the lesions were definitively diagnosed as SOD in four patients. Based on clinical, radiographic, and histopathological examinations, three (%50) of the lesions were diagnosed as periapical COD and the others (%50) were diagnosed with fluoride COD. All patients were followed up periodically for six months.
Conclusion: The findings of this case series showed that all lesions examined were clinically asymptomatic and mixed on radiography. Due to insufficient vascular support of the bone in the COD area, there is a risk of infection and osteomyelitis may occur. Therefore, dentists should be aware of the clinical and radiographic features of COD in clinical practice and follow the patients periodically.

References

  • Speight PM and Carlos R: Maxillofacial fibro-osseous lesions. Curr Diagn Pathol 2006; 12 (1): 1-10.
  • Toledano-Serrabona J, Nunez-Urrutia S, Vegas-Bustamante E, Sanchez-Torres A, Gay-Escoda C. Florid cemento-osseous dysplasia: Report of 2 cases. J Clin Exp Dent 2018; 10 (11): e1145-e1148.
  • Brannon RB and Fowler CB. Benign fibro-osseous lesions: a review of current concepts. Adv Anat Pathol 2001; 8: 126– 143.
  • Min CK, Koh KJ, Kim KA. Recurrent symptomatic cemento-osseous dysplasia: A case report. Imaging Sci Dent 2018; 48 (2): 131-137.
  • Eskandarloo A and Yousefi F. CBCT findings of periapical cemento-osseous dysplasia: a case report. Imaging Sci Dent 2013; 43 (3): 215-218.
  • Mainville GN, Turgeon DP, Kauzman A. Diagnosis and management of benign fibro‐osseous lesions of the jaws: a current review for the dental clinician. Oral Dis 2017; 23 (4): 440-450.
  • Delai D, Bernardi A, Felippe GS, da Silveira Teixeira C, Felippe WT, Felippe MCS. Florid cemento-osseous dysplasia: a case of misdiagnosis. J Endod 2015; 41 (11): 1923-1926.
  • Dagistan S, Tozoglu Ü, Göregen M, Çakur B. Florid cemento-osseous dysplasia: A case report. Med Oral Patol Oral Cir Bucal 2007; 12 (5): 348-350.
  • Pereira DL, Pires FR, Lopes MA et al. Clinical, demographic, and radiographic analysis of 82 patients affected by florid osseous dysplasia: An international collaborative study. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122: 250-257.
Year 2022, Volume: 49 Issue: Suppl 1, 4 - 7, 31.08.2022
https://doi.org/10.52037/eads.2022.0012

Abstract

References

  • Speight PM and Carlos R: Maxillofacial fibro-osseous lesions. Curr Diagn Pathol 2006; 12 (1): 1-10.
  • Toledano-Serrabona J, Nunez-Urrutia S, Vegas-Bustamante E, Sanchez-Torres A, Gay-Escoda C. Florid cemento-osseous dysplasia: Report of 2 cases. J Clin Exp Dent 2018; 10 (11): e1145-e1148.
  • Brannon RB and Fowler CB. Benign fibro-osseous lesions: a review of current concepts. Adv Anat Pathol 2001; 8: 126– 143.
  • Min CK, Koh KJ, Kim KA. Recurrent symptomatic cemento-osseous dysplasia: A case report. Imaging Sci Dent 2018; 48 (2): 131-137.
  • Eskandarloo A and Yousefi F. CBCT findings of periapical cemento-osseous dysplasia: a case report. Imaging Sci Dent 2013; 43 (3): 215-218.
  • Mainville GN, Turgeon DP, Kauzman A. Diagnosis and management of benign fibro‐osseous lesions of the jaws: a current review for the dental clinician. Oral Dis 2017; 23 (4): 440-450.
  • Delai D, Bernardi A, Felippe GS, da Silveira Teixeira C, Felippe WT, Felippe MCS. Florid cemento-osseous dysplasia: a case of misdiagnosis. J Endod 2015; 41 (11): 1923-1926.
  • Dagistan S, Tozoglu Ü, Göregen M, Çakur B. Florid cemento-osseous dysplasia: A case report. Med Oral Patol Oral Cir Bucal 2007; 12 (5): 348-350.
  • Pereira DL, Pires FR, Lopes MA et al. Clinical, demographic, and radiographic analysis of 82 patients affected by florid osseous dysplasia: An international collaborative study. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122: 250-257.
There are 9 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Conference Papers
Authors

Nuray Bağcı 0000-0001-9362-723X

Özlem Üçok 0000-0003-4904-0591

İlkay Peker 0000-0002-2888-2979

Publication Date August 31, 2022
Submission Date August 31, 2021
Published in Issue Year 2022 Volume: 49 Issue: Suppl 1

Cite

Vancouver Bağcı N, Üçok Ö, Peker İ. Clinic and Radiographic Evaluation of Cemento-osseous Dysplasia: Case Series. EADS. 2022;49(Suppl 1):4-7.