Shadid Rola, Kujan Omar
Faculty of Dentistry, Arab American University, Jenin, Palestinian Territory; Private practice, Tulkarm, Palestinian Territory.
Lead Discipline in Oral Pathology, UWA Dental School, University of Western Australia, Nedlands WA, Australia.
Clin Pract. 2020 Sep 4;10(3):1281. doi: 10.4081/cp.2020.1281.
Florid cemento-osseous dysplasia (FCOD) is a rare benign fibro-osseous lesion which affects multiple quadrants and predominantly the mandible. This case report presents a successful implant placement with 8-year of follow-up in a 44-yearold woman asking for a fixed restoration in mandibular right posterior edentulous area. Radiographic images showed lobular, irregularly shaped radiopacities and radiolucencies almost symmetrically observed in the premolar-molar area of the right and left regions of the mandible. The findings of Xray images were attributable to FCOD. Minimally invasive two-stage surgery with strict infection control was followed to place two implants in lower right posterior region. The implants demonstrated clinically rigid fixation and restored successfully after 6 months. A direct functional connection between dysplastic bone and the implant load bearing surface was evidenced by the lack of symptoms, and the lack of soft tissues inflammation or peri-implant bone loss up to 8 years follow-up.
florid骨水泥骨发育异常（FCOD）是一种罕见的良性纤维骨病变，累及多个象限，主要累及下颌骨。本病例报告介绍了一名44岁女性在下颌右后牙无牙区进行固定修复，成功植入种植体并随访8年的情况。影像学图像显示在下颌左右区域的前磨牙-磨牙区几乎对称地观察到小叶状、形状不规则的不透射线区和透射区。X线图像的表现符合FCOD。采用严格控制感染的微创两阶段手术，在下颌右后区域植入两颗种植体。种植体在临床上表现出坚固的固定，并在6个月后成功修复。在长达8年的随访中，没有症状，没有软组织炎症或种植体周围骨丢失，证明发育异常的骨与种植体承载表面之间存在直接的功能连接。
