Florid Cemento Osseous Dysplasia: A Case Report
Author(s): Reema A Sharaf*
Abstract
Florid Cemento-Osseous Dysplasia (FCOD) is a fibro-osseous disease characterised by the replacement of normal bone with poorly cellularized cementum-like materials and cellular fibrous connective tissues through a reactive process. The condition is limited to the places where teeth are present or absent, and it often affects both sides with symmetrical involvement. This case report discusses an unusual occurrence of a 21-year-old female who had many impacted permanent teeth along with multiple radiopaque lesions in the periapical area. The Orthopantomogram (OPG) revealed radiopaque lesions in the locations where teeth were missing. FCOD is radiographically identified by the presence of numerous masses composed of a combination of radiopaque components. There could be a circular area of decreased density on X-rays, mainly at the tips of healthy teeth. As the lesions develop, they typically grow denser on X-rays. The management of dental caries and removal of teeth that are beyond salvage have been successfully carried out. The patient was receiving routine clinical and radiological monitoring. When a radiolucent or mixed lesion appears at the periapical area of a tooth with a live pulp, we recommend using panoramic radiography to distinguish between an inflammatory periapical lesion and a lesion of Cemento-Osseous Dysplasia (COD).