Lesions classified as Cemento-osseous dysplasia (COD) largely encompass three different sub-groups: Florid, focal and periapical lesions. Presentation is said. Cemento-osseous dysplasia (COD) is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. It is most common in. Periapical cemento-osseous dysplasia (COD) is a very rare benign lesion arising from a group of disorders which are known to originate from undifferentiated.

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Essentially, these underlying disorders all involve the same pathological process.

Florid cemento osseous dysplasia: years clinical and radiographic Dentistry

OA Dentistry Oct 01;1 1: Minimal effects on surrounding structures were observed. Histologic typing of odontogenic tumours, jaw cysts and allied lesions. Ossifying fibroma-cementoma of jaw. Role of Resveratrol in Prevention and Therapy of Cancer: PCD is a relatively common type of COD that predominantly involves the anterior mandible, and affects single or multiple teeth. Discussion Clinical and radiographic features are diagnostic for FCOD, it is almost always asymptomatic and nonexpanding, usually discovered incidentally on routine dental radiographs.

Views Read Edit View history. The radiographic findings in the current study are in agreement with the dyaplasia. The management of our case consisted of conservative treatment and regular recalls, extractions were done due to a periodontal cemento-ossseous and under antibiotic coverage to minimize the risk of infection.

Since this case was asymptomatic and confined to the alveolar bone, the diagnosis of chronic diffuse sclerosing osteomyelitis was excluded.

The affected lesion of the mandible exhibits a diffuse opacity with poorly-defined borders Benign fibro-osseous lesions of the craniofacial complex. The average diameter at the time of first radiological examination has been given as 1. Periapical radiographs of osseous cemento-osseous dysplasia: This makes differential diagnosis especially cemento-soseous, and in our view it should also include other bone diseases having similar features but requiring completely different treatment.


Clinically apparent lesions presented with jaw swelling, dull pain or sensitivity, and drainage, which may have been due to secondary infection caused by direct exposure of the calcified masses to the oral cavity. OPT image shows the bilateral radiolucent-radiopaque lesions around the apical thirds of the mandibular teeth.

Periapical Cemento-osseous Dysplasia: Clinicopathological Features

A bone biopsy of the affected area was taken for histopathological evaluation; a diagnosis of PCOD was rendered. Florid cemento-osseous dysplasia and chronic diffuse osteomyelitis Report of a simultaneous presentation and review of the literature.

Sitemap What’s New Feedback Disclaimer. Contemp Clin Dent ;3: Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws.

Histological examination revealed multiple small fragments of cementum-like substances characterized by islands of calcified deposits and areas of loose dyspkasia stroma Figure 3 ; the latter showed evidence of proliferation.

Cemento-osseous dysplasia – Wikipedia

With regard to prosthetic rehabilitation, in areas affected by periapical COD, dyzplasia bone quality is generally insufficient cemento-oxseous implant insertion. This deposition may occur because of poor vascularity of the altered dysplastic tissue when there is communication with the oral cavity. Endoral radiography showed that these teeth had been devitalized; they had deep periodontal pockets and marked radicular radiotransparency; the root apices exhibited mixed radiotransparency and radio-opacity.

Benign fibro-osseous lesions of the craniofacial complex. Blood investigation requested include complete blood count and full chemistry, all results were within normal limits except for cholesterol which was slightly elevated.

Speight PM, Carlos R. Cemento-osseous cemwnto-osseous in an elderly Asian male: Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. Cemento-osseoous clinicopathologic spectrum of cementoosseous dysplasia.

This condition is a primary inflammatory condition involving the body of the mandible from the alveolus to the inferior border and may extend into the ramus, cyclic episodes of unilateral pain and swelling are features of the condition. Diagnosis was established on the basis of persistence of swelling, as well as radiographic and microscopic appearance. J Oral Sci The radio-opacity keeps increasing with time in comparison with earlier records as shown in Figure 3 which represents OPT images in The prevalence, clinical and radiographic characteristics of cemento-osseous dysplasia in Korea.


Gigantiform cementoma affecting a Caucasian family. The lesion can be seen opposite the mandibular left first molar in a standard occlusal radiograph of the mandible c and a transverse computed tomography image d. Head Neck Pathol ;5: In the first or osteolytic phase, a circular radiolucent lesion is visible at the apex of the root; in the second or cementoblastic stage, cementoblastic activity increases and, consequently, spicules of cement begin to form, so that the radiolucent lesion assumes a mixed appearance.

A year-old Jordanian female patient attended the periodontal clinic at King Hussein Medical Centre in for periodontal assessment. A pathologic spectrum of cases.

In the case reported here, the approach taken was surgical. Focal cemento-osseous dysplasia masquerading as a residual cyst.

Extensive surgical resection and saucerization have been proposed as treatment options when lesions become extensive and symptomatic Multiple oral radiopaque masses leading to Gardner’s syndrome diagnosis. Expansive focal cemento-osseous cemento-ossfous.

The patient was followed up for the next 15 years. Unfortunately, none of these authors 2,22 reported the frequencies or proportions of individual radiographic features.

References [ edit ] Kahn, Michael A.