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http://dx.doi.org/10.5125/jkaoms.2011.37.6.515

Florid cemento-osseous dysplasia: a report of two cases  

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)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.37, no.6, 2011 , pp. 515-519 More about this Journal
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
Cemento-osseous dysplasia; Periapical cemental dysplasia; Focal cemento-osseoous dysplasia; Florid cemento-osseous dysplasia;
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