Periapical cemento-osseous dysplasia (COD) is a very rare benign lesion arising from a group of disorders which are known to originate from undifferentiated. 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.

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A rare manifestation in an Indian family.

Extensive surgical resection and saucerization have been proposed as treatment options when lesions become extensive and symptomatic Conflict of interests None declared. This article has been peer reviewed. Cejento OPT was requested and revealed multiple bilateral radiolucent-radiopaque sclerotic masses apical to the majority of mandibular teeth with no evidence of root resorption, dental caries was noted at the distal surface of the left mandibular first molar, poor endodontic treatment of the maxillary left first molar, femento mild to moderate horizontal bone loss Figure 1.

In the third patient, secondary osteomyelitis developed. User Name Password Sign In. The current study had several limitations.

Cemento-osseous dysplasia – Wikipedia

Figure 2 shows the OPT in which revealed the same symmetrical bilateral sclerotic masses in the mandible but with increasing of the radio-opacity in comparison with the OPT in Periapical cemento-osseous dysplasia PCOD is a rare benign lesion, often asymptomatic, in which fibrous tissue replaces the normal bone tissue, with metaplasic bone and neo-formed cement.

Florid cemento osseous dysplasia: A year-old Jordanian female patient attended the periodontal clinic at King Hussein Medical Centre in for periodontal assessment. The word ‘florid’ was introduced to describe the wide spread, extensive manifestations of the disease in the jaws. Although they affect only a small number of patients, the potential for complications of this type to arise because of exposure through tooth extraction sites, bone loss from periodontal disease or implant placement should be recognized.


It can be diagnosed by radiographic appearance.

Previous Section Next Section. Florid cemento-osseous dysplasia and chronic diffuse osteomyelitis Report of a simultaneous presentation and review of the literature. Report of a case documented with dysplaia, radiographic, biochemical and histological findings. J Tenn Dent Assoc Medical history revealed hyperlipidaemia controlled by statin group anti-lipidemic drugs and no other systemic disorders were reported. Biopsy should be avoided in asymptomatic lesions as it may precipitate infection which might be difficult to control without surgical intervention.

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 clinical-pathologic study of thirty-four cases.

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Observations of similar asymptomatic radiopaque lesions over a long period enable us to predict their behaviour and ensure there are no negative changes of the lesion except what appears to be normal progression from radiolucency to radio-opacity.

Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. OPT image shows increase in the radio-opacity mainly noticed around the root of the mandibular left first molar.

This evolution may take months or years, and during its development, the diameter of the lesion increases from 0. Biopsy specimens were sent to the Department of Oral Pathology, where sections were cut and prepared conventionally, and stained with hematoxylin and eosin.

OPT image revealed increased opacities of the lesion mainly in the left molar region. References White S, Pharoah M. Advanced imaging provided additional information related to the extent of involvement, the presence of buccal or lingual expansion, the integrity of the periphery of the lesion, the internal density of the lesion and, for lesions that were particularly large, relationships with nearby anatomic structures.

Post-extraction healing was particularly slow, with slight but persistent swelling, limited to the area around None of her family reported to have similar conditions.


A pathologic spectrum of cases. Florid cemento-osseous dysplasia may be familial with an autosomal dominant inheritance pattern, but there are only a few examples in the literature in which the familial pattern has been confirmed.

Osseous (Cemento-osseous) Dysplasia of the Jaws: Clinical and Radiographic Analysis | jcda

A complete or partial radiolucent rim was noted in a few reports 12,13,22 and a sclerotic border has been less frequently reported 2,14,22 Fig. The remaining patients In some cases, the radiographic image can be misinterpreted as an infection of endodontic origin, and thus mismanaged The lesions may be single or multiple, asymptomatic and do not involve alterations to the periodontal tissue.

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.

World Health Organization Classification of Tumours. Its differential diagnosis should take into account the stage of development of the lesion and the possibility of associated entities, including osteomyelitis and simple bone cysts.

Radiographically, the lesions appear as multiple sclerotic masses in the tooth-bearing regions which usually affect the mandible on both sides in a symmetrical manner, but all four quadrants may be involved, it presents as multiple radiopaque lesions that fuse into lobulated sclerotic masses.

The prevalent lesion site is cdmento anterior region of the mandible, in the vicinity of the root apex of the mandibular incisors and canines, and the teeth involved remain vital 45. The clinical and radiographic features of solitary and cemento-osseous dysplasia-associated simple bone cysts. The definitive diagnosis for this case was periapical COD.

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