Huh Jong-Ki, Shin Su-Jung
Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Korea.
Restor Dent Endod. 2013 Aug;38(3):160-6. doi: 10.5395/rde.2013.38.3.160. Epub 2013 Aug 23.
This case report demonstrates an unnecessary endodontic treatment of teeth with florid cemento-osseous dysplasia (FCOD) due to a misdiagnosis as periapical pathosis and emphasizes the importance of correct diagnosis to avoid unnecessary treatment. A 30-year-old woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. The periapical lesions associated with these teeth had failed to resolve after root canal treatment over a 3-year period. Radiographic examinations revealed multiple lesions on the right canine, the second premolar, and both first molars as well as the anterior region of the mandible. Based on clinical, radiographic and histological evaluations, the patient condition was diagnosed as FCOD. The patient has been monitored for 2 years. To avoid unnecessary invasive treatment, accurate diagnosis is essential before treatment is carried out in managing FCOD.
本病例报告展示了因误诊为根尖周病变而对患有 florid cemento-osseous dysplasia（FCOD）的牙齿进行了不必要的根管治疗，并强调了正确诊断以避免不必要治疗的重要性。一名 30 岁女性因下颌左侧尖牙及两颗侧切牙的根尖切除术被转诊至我院。这些牙齿相关的根尖周病变在根管治疗 3 年后仍未愈合。影像学检查显示右侧尖牙、第二前磨牙、两颗第一磨牙以及下颌前部区域有多处病变。基于临床、影像学和组织学评估，患者病情被诊断为 FCOD。该患者已被监测 2 年。为避免不必要的侵入性治疗，在处理 FCOD 时，治疗前进行准确诊断至关重要。
