Presentation
Clinical and radiological features are presented. [ncbi.nlm.nih.gov]
Entire Body System
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Soft Tissue Mass
More malignant processes such as osteosarcoma exhibit a more pronounced periosteal reaction, bone destruction and the presence of a soft tissue mass. Multifocal osteosarcoma is rare. [neuroradiologyonthenet.blogspot.com]
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Soft Tissue Swelling
An odontogenic origin is typical for cervicofacial actinomycosis, which evolves as a chronic (or subacute) soft tissue swelling of the submandibular or paramandibular region [ 3 ]. [bmcoralhealth.biomedcentral.com]
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Constitutional Symptom
She denied fevers, chills, night sweats or other constitutional symptoms. Her dental history was significant for FCOD, a condition shared with her mother. [bmcoralhealth.biomedcentral.com]
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Sulfur Granules
Actinomycosis usually spreads contiguously, ignoring tissue planes, and extruding bacteria-laden "sulfur granules" from erupting sinus tracts [ 3 ]. [bmcoralhealth.biomedcentral.com]
Skin
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Night Sweats
She denied fevers, chills, night sweats or other constitutional symptoms. Her dental history was significant for FCOD, a condition shared with her mother. [bmcoralhealth.biomedcentral.com]
Psychiatrical
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Fear
Root canal treatment was performed and because of the radiographic signs of root resorption and the patient's fear of having a malignant disease, periapical surgery was also performed. [research-repository.uwa.edu.au]
Workup
Microbiology
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Capnocytophaga
Lactobacillus spp. α-hemolytic Streptococcus Leptotrichia buccalis Capnocytophaga spp. Prevotella spp. The patient was initially treated for one week with oral amoxicillin combined with clavulinic acid 875 mg twice daily. [bmcoralhealth.biomedcentral.com]
Treatment
It is important that dentists have a basic knowledge of the various injuries that affect the jaw bones to prevent errors in diagnosis and treatment and to promote oral health. Copyright 2015 American Association of Endodontists. [ncbi.nlm.nih.gov]
Surgical intervention is not the optimal treatment, as it may result in secondary complications; in fact, patient is kept under frequent follow-ups. [scopemed.org]
Prognosis
Ossifying fibroma and fibrous dysplasia in bone tumors: diagnosis, treatment and prognosis. 2nd ed. Philadelphia: W.B. Saunders, 1991; 13-48. Maaita JK. Oral tumors in children: a review. J Clin Pediatr Dent; 2000; 24: 133–5. [revistas.icesp.br]
Treatment and prognosis Usually, no treatment is required as the bone lesions usually do not progress beyond puberty. If a mass effect is severe, then surgical decompression may be considered. [radiopaedia.org]
[…] lesions can often look like a periapical lesion or granuloma on a tooth requiring endodontic therapy, but if pulp testing is performed, these teeth will be found to be vital. 5 The concerns in treating a patient with PCOD include bone quality and the prognosis [dentalaegis.com]
Prognosis is excellent, but follow-up is warranted because of possibility of progression to florid cemento-osseous dysplasia. [joomr.org]
What is the prognosis for focal cemento-osseous dysplasia? This disease is characterized by the replacement of bone with abnormal fibrous connective tissue interspersed with varying amounts of calcified material. [quizlet.com]
Etiology
The exact etiology of FCODs is still unknown [2]. [austinpublishinggroup.com]
The exact etiology of this disorder however is yet to be known. Asymptomatic patients generally do not require treatment. [biopublisher.ca]
The etiology of FOD is still unknown. It is often asymptomatic and may be identified on routine dental radiographs. [scinapse.io]
The classical description of this pathology is of a relatively common occurrence, although its nature and etiology are unknown. It is sometimes associated with slight chronic trauma (Shafer, 1987). [blackstar.forp.usp.br]
Adjacent teeth are characteristically vital at pulp testing. 4 Although most are of unknown etiology, some are believed to be neoplastic and others are related to metabolic imbalance. 1 The etiology and pathogenesis of cemento-osseous dysplasia remain [ispub.com]
Epidemiology
The case here presented was typical of epidemiological and clinical characteristics described for this type of lesion in scientific literature. After accidental X-ray findings, patients are generally asymptomatic. [elsevier.es]
Pathophysiology
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Prevention
For the asymptomatic patient, the best management consists of regular recall examinations with prophylaxis and reinforcement of good home hygiene care to control periodontal disease and prevent tooth lose. [ncbi.nlm.nih.gov]
Oral hygiene advice should be emphasized for patients with FCOD to prevent caries and periodontal diseases and to maintain natural teeth. [nyuscholars.nyu.edu]