Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Florid cemento-osseous dysplasia: a report of two cases

개화성 백악질-골 이형성증: 증례보고

  • Kim, Nam-Kyun (Department of Oral and Maxillofacial Surgery, Oral Cancer Research Institute, College of Dentistry, Yonsei University) ;
  • Kim, Hyun-Sil (Department of Oral Pathology, Oral Cancer Research Institute, College of Dentistry, Yonsei University) ;
  • Kim, Jin (Department of Oral Pathology, Oral Cancer Research Institute, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, Oral Cancer Research Institute, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, Oral Cancer Research Institute, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, Oral Cancer Research Institute, College of Dentistry, Yonsei University)
  • 김남균 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김현실 (연세대학교 치과대학 구강병리학교실 구강종양연구소) ;
  • 김진 (연세대학교 치과대학 구강병리학교실 구강종양연구소) ;
  • 남웅 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실)
  • Received : 2011.06.24
  • Accepted : 2011.10.12
  • Published : 2011.12.31
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Abstract

Cemento-osseous dysplasia occurs in the tooth bearing areas of the jaws and is probably the most common fibro-osseous manifestation. They are usually classified into three main groups according to their extent and radiographic appearance: periapical (surrounds the periapical region of teeth and are bilateral), focal (single lesion) and florid (scleroticsymmetrical masses) cemental-osseous dysplasias. Florid cemento-osseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to the jaws. Patients do not have laboratory or radiologic evidence of bone disease in other parts of the skeleton. For asymptomatic patients, the best management consists of regular recall examinations with prophylaxis and the reinforcement of good home hygiene care to control periodontal disease and prevent tooth loss. The treatment of symptomatic patients is more difficult. At this stage, there is an inflammatory component caused by the disease and the process is basically a chronic osteomyelitis involving dysplastic bone and cementum. Antibiotics might be suggested, but are not always effective. Two cases of florid cemento-osseous dysplasia diagnosed in two Korean females are reported with a review of the relevant literature.

Keywords

References

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