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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If at a certain time the disease affects only the mandible, implant placement and tooth movement in the areas not affected and in the maxilla may be performed.

A small number of basophilic globular structures of different sizes could also be observed through the field Figures 3a and b. The radiolucent areas reveal irregular and focal irregular radiopaque areas that gradually unite to form radiopaque masses, usually surrounded by irregular radiolucent areas that interface with normal neighboring bone and are filled with soft tissue that has not yet been mineralized.

These areas, if examined using imaging techniques, are radiolucent cementto hypodense, as they are osteolytic and irregular. They are often confined within the alveolar bone Bone dysplasia; Florid cemento-osseous dysplasia; Osteomyelitis; Bone diseases.

R Fac Odontol Porto Alegre. In some cases, COD presents as multiple lesions FCOD in which lesions could appear to overlap each other in multiple quadrants, without or with a minimum of lesion-free bone among them.

These aspects characterized the cementoblastic stage of the development. In other words, teeth are not capable of moving in areas with florid cemento-osseous dysplasia.

Florid cemento-osseous dysplasia and a dental abscess. ABSTRACT Florid cemento-osseous dysplasia is a sclerosing disease that affects the mandible, displasix the alveolar process, and that is, in most cases, bilateral; however, in some cases it affects up to three or even four quadrants.

Failure of dental implants in cemento-osseous dysplasia: a critical analysis of a case

Pain or discomfort may be one of the first signs of implant’s failure, usually with its mobility Radiographically, they are dense lesions and lobulated masses that are microscopically composed of tissue that resembles cement. Imaging studies reveal mixed radiopaque and radiolucent areas Figs 1 to 4. The Swedish system of osseointegrated implants: Familial gigantiform cementoma is characterized by great expansive and asymmetrical growth, not found in florid cemento-osseous dysplasia.


An incisional biopsy was performed, and histopathological examination revealed different areas of a dense, slightly vascularized connective tissue that was rich in fibroblasts and showed a moderate amount of collagen fibers that were permeated with a varying amount of osteoid trabeculae and cement-like nodules of different shapes and sizes.

displasia cemento ossea florida e caninos impactados

American Academy of Periodontology. A very important clinical sign for the diagnosis of florid cemento-osseous dysplasia is the appearance of a yellowish material, similar to bone, that comes out of the buccal mucosa through perforations that are unexplainable at first. In a certain point of the region of the mandibular molars and premolars, probably simultaneously in both sides, bone tissue is resorbed and replaced with fusiform and polyhedral cells that form discretely fibrosed connective tissue.

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Compend Contin Educ Dent ; Neoplasma and others lesions related to bone. In others, the disease is less expressive and dysplastic lesions are unevenly distributed through the bone.

World Health Organization; Treatment of a maxillary molar in a patient presenting with florid cemento-osseous dysplasia: Unusual behavior of periapical cementous dysplasia. Accordingly, based on the findings from our case report and those reported by Bencharit et al. Periapical cemento-osseous dysplasia is a pathologic entity resulting from bone and cementum reactional process which affects the periapical region of the anterior mandible.

At the following appointment, one week later, patient reported that her discomfort had stopped. All teeth in this area were submitted to thermal test, which responded positively demonstrating idsplasia tooth vitality was preserved.

Despite all measures taken, the patient with florid cemento-osseous dysplasia may, with time, develop suppurative osteomyelitis secondary to florid cemento-osseous dysplasia after contamination of the bone by bacteria from transient bacteremia that the human body has practically on a daily basis.

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

Although we were unable to prove how much the technical variables of the surgical procedure interfered with implant failure, we strongly believe that the main reason for the failure is related to the manipulation of dysplastic bone, a hazardous procedure due to the nature of the disease. The placement of mini-implants and mini-plaques should be restricted because dusplasia bacterial contamination while they are in the mouth, which may result in daily bacteremia. Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: Periapical cemento-osseous dysplasia has a natural evolutional path in which changes in the pathology’s features are noted.


A radiographic study performed cenento Su et al. The final diagnosis of florid cemento-osseous dysplasia should be made according to clinical and imaging data only. This lesion underwent an excisional biopsy and the anatomic-pathological examination confirmed the diagnosis.

This overlapping reveals that these radiopaque and radiolucent masses are random in a variety of radiographic images. Distinguishing features of focal cemento-osseous dysplasias and cemento-ossifying fibromas: Nevertheless, the installation of implants in patients with cemento-osseous dysplasia COD has been reported with apparent success. The authors report no commercial, proprietary or financial interest in the products or companies described in osxea article.

Periapical cemental dysplasia in twin sisters: Endodontic treatment should only be made when loss of tooth vitality is confirmed, and should be conducted under preventive antibiotic therapy after a clear diagnosis of florid cemento-osseous dysplasia has been made. Traditionally, this evolution can be divided into three stages: After some time, these polyhedral cells initiate the deposition of an irregularly and randomly distributed, disorganized collagen matrix, over which basophilic mineralized bone begins to form.

Our experience in the present case report, however, has shown that we are far from being fully informed about dysplastic bone behavior with respect to dental implants. Periapical cemento-osseous dysplasia is an asymptomatic clinical condition occurring exclusively in the mandible’s anterior area and whose etiology remains inconclusive.

Densely mineralized and disorganized bone is unable to remodel or develop in an organized way in the periodontal ligaments and the alveolar process. In cisplasia case, treatment should be surgical, with mandibular debridement and significant loss of mandibular structure, as in the case of primary chronic suppurative osteomyelitis.

The aim of this study is to present a case of periapical cemento-osseous dysplasia.

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