Toledano-Serrabona Jorge, Núñez-Urrutia Sergio, Vegas-Bustamante Erika, Sánchez-Torres Alba, Gay-Escoda Cosme
Student in Dental Degree. School of Medicine and Health Sciences, University of Barcelona, Barcelona (Spain) 2 DDS, MS. Master's Degree Program in Oral Surgery and Implantology, School of Medicine and Health Sciences, University of Barcelona (Spain).
DDS, MS. Master's Degree Program in Oral Surgery and Implantology, School of Medicine and Health Sciences, University of Barcelona (Spain).
J Clin Exp Dent. 2018 Nov 1;10(11):e1145-e1148. doi: 10.4317/jced.55288. eCollection 2018 Nov.
Florid cemento-osseous dysplasia is a non-neoplastic fibro-osseous lesion which often has an asymptomatic slow growth. Unfortunately, these lesions are usually diagnosed through routine radiographic examination. The aim of this study was to describe the main clinical, radiological and histological characteristics of two case reports diagnosed with florid cemento-osseous dysplasia.
Two cases of florid cemento-osseous dysplasia with different clinical and radiological features were presented. Panoramic radiographs showed multiple radiopacities compatible with fibro-osseous lesions in distinct areas of the maxillary bones. The histological study revealed a sclerotic mass which continued imperceptibly with root cement with scarce fibrous lax tissue.
The replacement of healthy bone by metaplastic bone and fibrous tissue is the main histological feature. Therapeutic abstention with active clinical and radiographic control visits is recommended in asymptomatic cases. Fibro-osseous lesions, cemento-osseous dysplasia, florid cemento-osseous dysplasia, gigantiform cementoma, osseous dysplasia.
florid cemento-osseous dysplasia是一种非肿瘤性纤维骨病变，通常生长缓慢且无症状。不幸的是，这些病变通常是通过常规影像学检查诊断出来的。本研究的目的是描述两例被诊断为florid cemento-osseous dysplasia病例的主要临床、放射学和组织学特征。
呈现了两例具有不同临床和放射学特征的florid cemento-osseous dysplasia病例。全景X线片显示在上颌骨不同区域有多个与纤维骨病变相符的不透光区。组织学研究显示有一个硬化肿块，与牙根骨质相连，纤维疏松组织稀少。
化生骨和纤维组织替代健康骨是主要的组织学特征。对于无症状病例，建议采取保守治疗并进行定期临床和影像学检查。纤维骨病变、cemento-osseous dysplasia、florid cemento-osseous dysplasia、巨形牙骨质瘤、骨发育异常。
