Download Citation on ResearchGate | Displasia cemento-óssea florida: relato de caso | Lesões fibro-ósseas benignas são caracterizadas pela substituição do. Florid cemento-osseous dysplasia has been described as a condition that characteristically . A displasia cemento-óssea florida tem sido descrita como uma. 18 nov. Focal. Thalyta Brito Santos LIMA. Renan de Souza BONFIM. Gefter CORREA. Rafael MOURA. TRATAMENTO. DISPLASIA CEMENTO-ÓSSEA.

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A 50 years-old female patient sought for dental care due to pain in the lower right premolar region.

J Am Dent Assoc. The characteristics described above indicate that orthodontists must make an accurate diagnosis of florid cemento-osseous dysplasia in the analyses conducted for their treatment planning, as this disease, when fully established, is one of the rare conditions that contraindicate orthodontic treatment.

Familial florid cemento-osseous dysplasia – a case report ossda review of the literature.

Florid cemento-osseous dysplasia mimicking multiple periapical pathology–an endodontic dilemma.

However, Langlais et al. A small number of basophilic globular structures of different sizes could also be observed through the field Figures 3a and b. This condition has been interpreted as a dysplastic lesion or developmental anomaly arising in displasai areas.

A fractured or loosen implant should be the first hypothesis when a patient complaint about discomfort or that the implant is loosen.

Florid cemento-osseous dysplasia ozsea no symptoms or clinical signs. These structures of tissue similar to cementum may fuse to each other and produce larger aggregates with rounded contours accounting for increasing the radiopacity degree within the lesions Their occurrence together in the same patient seems to be a fortuitous and rare occurrence. Bone lesions in FCOD, especially in the mixed and mature phases, show a small amount of vascularized connective tissue and a great volume of dense displasla or hypovascular osteo-cementoid material.

Defining a uniform nomenclature and classification of these lesions is difficult because it is impossible to distinguish whether the mineralized material in these lesions is cement or bone, even when analyzed under transmission or scanning electron microscopy dispalsia immunocytochemistry. It usually manifests as multiple radiopaque cementum-like masses distributed throughout the jaws.


We believe that COD should be seen as a restrictive risk factor, which should be carefully considered in these cases. COD can present different standards of clinicopathologic expression, considering the number of lesions and the stage of the disease.

Clinical experience and literature reveal that it may not. In most cases, only two mandibular quadrants are affected; but in cemfnto other cases, the posterior regions of the bone are also affected, often less severely than the other areas.

Literature has presented several clinical cases and in some of them due to misdiagnosis a satisfactory result was not achieved 3,5,7,8,10,12,19,20,24,25,26, Periodontal examination did not find any contributory finding, but the occlusion examination revealed a premature contact in the prosthesis installed on the implant at the area of tooth Br J Oral Maxillofac Surg.

Because the lesions were asymptomatic and already exhibited signs of repair, biopsy was not considered. Organized bone remodeling is a fundamental phenomenon for tooth movement.


Endodontic therapy should not be done before a definitive diagnosis is obtained, especially when it is based solely on cenento findings and no other signs and syntoms are present The main treatment strategy for florid cemento-osseous dysplasia is to avoid the contact of the affected bone with the oral microbiota, which happens in cases of chronic inflammatory periodontal disease associated with dental bacterial plaque, caries followed by pulp necrosis and chronic periapical diseases, tooth and jawbone trauma, surgery with extractions and placement of implants.

Ce,ento diagnosis of periapical cemento-osseous dysplasia was established based on the lack of symptomatology and on the clinical and radiographic aspects of the lesion melanoderm patient, 50 years-old, female, painless lesion displasoa several lower incisors.

The prognosis of osteitis is very good. Any inflammation may increase, at an early stage, the pressure inside these reduced medullary spaces, thus compressing the vases and creating barriers to venous return, which leads to medullary tissue necrosis in a shorter time.

Mandibular lesions are mixed, some radiopaque, some radiolucent, and are confused with roots of molar teeth, as they are randomly distributed in posterior region. Newly formed bone does not seem to invade periodontal space, but, in several images, it is confused with the roots, without, however, compromising pulp vitality or tooth position in the dental arch.


The replacement of osseous tissue by fibrous tissue is characterized by a radiolucent image at the tooth apexes, indicating the osteolytic stage of its development. Is COD a self-limiting disease that is expressed solely in cememto areas where lesions are csmento, or are these lesions only local and temporary stages of a progressive syndromic picture expressed on an apparently healthy but primarily dysplastic bone susceptible to new lesions?

Displlasia, any examination, including periapical radiographs before the time of implant installation, were not available for evaluation. Nevertheless, the authors considered the rehabilitation to be successful after an observation period of 3 years. According to the classification proposed by Eversole et al. This contributes to some extent that further histopathological studies be limited. Mandible’s periapical oswea is the most common site of appearance; frequently multiple sites are affected root apex of two or more teeth.

The diseased bone is partially mineralized with a peripheral strip of osteoid matrix arrowhead. J Can Dent Assoc. Oral rehabilitation with endosseous implants in a patient with fibrous dysplasia McCune-Albright Syndrome: The reactional and reparative capacity of bone with florid cemento-osseous dysplasia is severely limited. Osteomyelitis occur only in:. However, other terms have been used for this pathological entity, such displaia J Oral Surg ; Report of a case.

displasia cemento ossea florida e caninos impactados

A year-old female patient was referred with a chief complaint of a failed dental implant, which had spontaneously fallen out of the mouth oesea months after installation. Florid cemento-osseous dysplasia, but not gigantiform cementomas, has a greater prevalence among black women. Treatment of a maxillary molar in a patient presenting with florid cemento-osseous dysplasia: The occlusal images revealed slight buccal expansion at the molar region on the right side of the mandible Fig.

Osteomyelitis occur only in: