Diagnosis and management of benign fibro-osseous lesions of the jaws: a current review for the dental clinician.

Benign fibro-osseous lesions of the maxillofacial skeleton constitute a heterogeneous group of disorders that includes developmental, reactive (dysplastic) and neoplastic lesions. Although their classification has been reviewed multiple times in the past, the most common benign fibro-osseous lesions are fibrous dysplasia, osseous dysplasia and ossifying fibroma. For the dental clinician, the challenges involve diagnosis and treatment (or lack thereof). A careful correlation of all clinical, radiologic and microscopic features is essential to establish a proper diagnosis and a clear treatment plan. This article aimed to review the clinical, radiologic and histopathologic characteristics of benign fibro-osseous lesions of the jaws, with emphasis on their differential diagnoses. With a deeper understanding of benign fibro-osseous lesions, clinicians will be better prepared to manage these lesions in their practice.

Severe florid cemento-osseous dysplasia: a case report treated conservatively and literature review.

BACKGROUND: Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws of middle-aged black women. Radiographically, FCOD appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. FCOD is usually asymptomatic. In severe cases, focal expansion may occur due to infection. Management of the symptomatic patient is more difficult due to the avascular nature of the lesion which contributes to susceptibility severe infection, bone sequestration, and osteomyelitis when surgery is performed. CASE REPORT: This paper presents a rare case of severe FCOD; the black woman patient was diagnosed based on clinical and radiographic findings and treated conservatively. The examination of panoramic radiographs revealed a multiple sclerotic masses with radiolucent borders, found in the mandible and maxilla which were symmetrical at presentation. The patient continuous with the follow-up. DISCUSSION: This report confirms that a diagnosis can be made with accurate clinical and radiographic assessment. The correct selection of treatment for FCOD depends on this information.

Maxillary cementoblastoma in a child.

Cementoblastoma is a rare benign tumor that almost always occurs in the premolar or molar region and more commonly in the mandible than in the maxilla. We present a unique incisor maxillary cementoblastoma in an 11-year-old child not previously described. To our knowledge, only 2 maxillary cases, both related to canine teeth, were described in the international literature. Thus, the aim of this article was to discuss the clinical presentation, diagnosis, and subsequent treatment of a patient with a cementoblastoma in the anterior maxillary region.

[Cemento-ossifying fibroma--case report and review of the literature]. / Cemento-ossifying fibroma--opis dwóch przypadków i przeglad literatury.

Authors report two cases of benign, osteogenic neoplasms of the maxilla in children which defined as cemento-ossifying fibroma and juvenile cemento-ossifying fibroma. Difficulty in diagnosis of the tumor is indicated. The importance of clinical data as well as radiology and histopathology examination for a proper diagnosis is indicated. Review of literature is presented.

Cemento-ossifying fibroma of maxillary and sphenoid sinuses: case report and literature review.

We report a case of cemento-ossifying fibroma (COF) involving the maxillary and sphenoid sinuses and review the literature in order to study the clinical features, imaging findings and histopathologic characteristics of COF. Special care was taken to distinguish this lesion from cemento-osseous dysplasia (COD). It is almost inevitable that differential diagnosis of COD and COF will be complicated by the fact that some pathologic features are shared by both lesions. A combined study incorporating clinical, radiographic and pathologic findings is important in order to ensure an accurate diagnosis. Postoperative follow-up is essential, especially in cases where incomplete removal of the COF was performed.

Cementoblastoma benigno: análisis de 25 casos / The bening cementoblastoma: analysis of 25 cases

El cementoblastoma benigno (CBB) es un tumor de maxilar poco frecuente que, a pesar de su denominación, puede agredir a piezas dentarias y al propio tejido oseo. El diganóstico diferencial con lesiones fibroóseas y fibrocementoóseas ha sido y es motivo de dificultad para su reconocimiento clínico (50 por ciento de los casos). Por estas razones se presenta el análisis de una serie de CBB estudiados durante varios añs en el área geográfica sur-sudamericana. Se aplicaron criterios radiográficos e histopatológicos para intentar una mejor caracterización de los aspectos diagnósticos evolutivos y terapéuticos de esta lesión. Los hallazgos muestran que el sexo y la localización del CBB no fueron significativamente diferentes de los citados por la literatura, pero hubo algunas diferencias en la edad de aparición y en la prevalencia del tumor (1/1.000) comparada con otros países. El estudio histopatológico demostró ser decisivo para la identificación de los CBB, a pesar de no guardar relación estricta con las imágenes radiográficas, la evolución y las características clínicas.

Displasia cementária periapical, consequência de diagnóstico incorreto: relato de um caso / Periapical cemental dysplasia, consequence of a misdiagnosis: report of a case

Os autores relatam um caso clínico em que, por falta de conhecimento da Displasia Cementária Periapical (DCP), uma lesäo tumoral benigna que pode simular radiograficamente uma periapicopatia crônica, o paciente sofreu três tratamentos endodônticos desnecessários em dentes que apresentavam normalidade pulpar. É enfatizada a importância do correto estabelecimento do diagnóstico, evitando, assim, que a DCP seja confundida com as lesöes perirradiculares

Displasia cemento-óssea florida: consideraçöes clínico-terapêuticas / Florid osseous dysplasia: the clinical-therapeutics consideration

A displasia cemento-óssea florida é uma condiçäo patológica que caracteristicamente afeta os maxilares de mulheres negras de meia idade. Manifesta-se radiologicamente como massas radiopacas difusas distribuidas na maxila e mandíbula, freqüentemente de forma bilateral. Tem sido classificada por diversos autores e há grandes dificuldades no estabelecimento da nômina adequada bem como na conduta terapêutica destas lesöes, principalmente quando apresentam-se sintomáticas

Displasia oseocementaria florida. Cementoma gigantiforme / Florid osseous dysplasia. Gigantiform cementoma

Dentro de los tumores odontogénicos de origen conjuntivo, hoy denominados displasias por la clasificación histológica de la O.M.S., se ubican los cementomas. De las distintas variedades de cementomas destacamos el de más frecuente hallazgo, el cementoma gingantiforme. Esta afección de naturaleza displásica, se da principalmente en mujeres de raza negra y de edad intermedia. Constituyen casi siempre un hallazgo radiográfico, en el cual pueden observarse masas radiopacas distribuidas simétricamente en las cuatro hemiarcadas. A menudo se manifiesta clínicamente con deformación o abombamiento de las tablas o infección sobreagregada, merced a la falta de nutrición, propia de su carácter avascular. Se presentan dos casos clínicos ocurridos en personas de sexo femenino, caucásicas, dentro de la quinta década de la vida y en ambos casos sin historia familiar de lesión. Se describen los hallazgos clinicorradiográficos, la alternativa de resolución quirúrgica y se discute el diagnóstico diferencial

Fibroma cementificante apical: um diagnóstico diferencial / Apical cementifing fibroma: diferencial diagnosis

Um caso de fibroma cementificante na regiäo apical de um incisivo central superior com vitalidade, em uma paciente negra de 52 anos de idade, é apresentado. Os seus aspectos clínicos, radiográficos e microscópicos säo discutidos sob o ponto de vista do diagnóstico diferencial entre os cementomas e as lesöes periapicais inflamatórias

Unusual behaviour of periapical cementous dysplasia.

A case of periapical cementous dysplasia is reported that over the course of 12 years developed into a progressive bone lesion. The diagnostic and therapeutic aspects are discussed.