Farah Camile S, Matias Marie Anne T
The Oral Medicine Clinic, Hollywood Private Hospital, Nedlands, Western Australia, Australia.
Qscan Radiology Clinics, Brisbane, Queensland, Australia.
Aust Endod J. 2021 Dec;47(3):684-689. doi: 10.1111/aej.12530. Epub 2021 Jun 1.
Osseous dysplasia (OD) is the most common fibro-osseous lesion of the jaws. A number of cases of florid osseous dysplasia (FOD) have been described; however, to our knowledge none have shown radiographic disease progression for a single case involving multiple regions of the jaws over an extended period of time. This report presents the 18-year history and radiographic disease progression of a patient diagnosed with FOD demonstrating progression from the osteolytic phase through the osteoblastic phase and to maturation phase at different intervals. Additionally, it outlines the importance of cone beam computed tomography (CBCT) in diagnostic workup to avoid unnecessary and invasive treatment such as bone biopsy, endodontic treatment or tooth extraction due to misdiagnosis of FOD. Dental practitioners should establish a correct diagnosis themselves by making use of important clinical and radiographic cues such as tooth vitality of affected teeth, or by referral to an appropriate specialist before commencing irreversible dental treatment.
骨发育异常（OD）是颌骨最常见的纤维-骨病变。已有多例 florid 骨发育异常（FOD）的病例报道；然而，据我们所知，在涉及颌骨多个区域的单个病例中，尚未有在较长时间内出现影像学疾病进展的报道。本报告呈现了一名被诊断为 FOD 患者的 18 年病史及影像学疾病进展情况，显示在不同时间段内从溶骨期发展到成骨期再到成熟期。此外，本报告概述了锥形束计算机断层扫描（CBCT）在诊断检查中的重要性，以避免因 FOD 误诊而进行不必要的侵入性治疗，如骨活检、牙髓治疗或拔牙。牙科医生应通过利用重要的临床和影像学线索，如患牙的牙齿活力，自行做出正确诊断，或在开始不可逆的牙科治疗前转诊至合适的专科医生。
