Presentation
Clinical and radiological features are presented. [ncbi.nlm.nih.gov]
This report presents a case with irreversible pulpitis and root resorption as well as a mixed radiolucent/radiopaque lesion around a mandibular molar tooth root. [research-repository.uwa.edu.au]
Entire Body System
- Chronic Infection
Diagnosis primarily relies upon radiographic and clinical findings; unnecessary biopsy should be avoided, as inoculation with oral pathogens may precipitate chronic infection in these hypovascular lesions. [ncbi.nlm.nih.gov]
FCOD is a benign lesion that can be disfiguring and lead to tooth loss, jaw fractures, and chronic infections. [bmcoralhealth.biomedcentral.com]
- Constitutional Symptom
The ulceration and drainage continued and seven months after the onset of symptoms the patient was referred to our institution for further management. She denied fevers, chills, night sweats or other constitutional symptoms. [bmcoralhealth.biomedcentral.com]
- 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]
- Sulfur Granules
Actinomycosis usually spreads contiguously, ignoring tissue planes, and extruding bacteria-laden "sulfur granules" from erupting sinus tracts [ 3 ]. [bmcoralhealth.biomedcentral.com]
- Familial Adenomatous Polyposis
Abstract Familial adenomatous polyposis (FAP) is a colorectal cancer syndrome characterized by the development of multiple polyps of the colon and rectum with high risk of malignant transformation. [ncbi.nlm.nih.gov]
Jaw & Teeth
- Gingival Swelling
Although the series of 54 patients with OD/COD described by Kawai and colleagues 12 was based on radiologic findings, those authors reported that 32 patients (59%) presented with at least one of the following signs or symptoms: pain, gingival swelling [jcda.ca]
Skin
- 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
- Suggestibility
All clinical, radiographic, biochemical and histological features were suggestive of the diagnosis of florid cemento-osseous dysplasia. [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov]
Some were spherical, whereas others were lobular, suggesting coalescence. On closer examination, well-defined radiolucent rims were seen surrounding most of the radiopaque areas. [austinpublishinggroup.com]
They suggested that, the latter could have been partly or wholly derived from the medullary bone rather than from the periodontal ligament. [jiaomr.in]
Decalcified H and E stained sections showed dense sheets of eosinophilia mass suggestive of trabecular compact bone with minimal amount of fibrous tissue suggestive of infected cemento-osseous dysplasia [Figure 5] and [Figure 6]. [joomr.org]
Thus, since so many FCODs occur at extraction sites, they may partly represent, as suggested by Waldron, the end-stage of an abnormal reaction of bone to injury. [ispub.com]
- 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
- 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]
Identify treatment options for patients with FCOD. [pocketdentistry.com]
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]
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 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]
The etiology of FOD is still unknown. It is often asymptomatic and may be identified on routine dental radiographs. [scinapse.io]
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]