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Download Citation on ResearchGate | Displasia cemento-óssea florida: relato de caso | Lesões fibro-ósseas benignas são caracterizadas pela substituição do. Florid cemento-osseous dysplasia has been described as a condition that characteristically . A displasia cemento-óssea florida tem sido descrita como uma. 18 nov. Focal. Thalyta Brito Santos LIMA. Renan de Souza BONFIM. Gefter CORREA. Rafael MOURA. TRATAMENTO. DISPLASIA CEMENTO-ÓSSEA.

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These lesions exhibit a sclerotic appearance similar to that of other lesions on conventional radiographs. While this issue does not have a definitive answer, it is crucial to consider apparently normal bone tissue as dysplastic bone ccemento therefore vulnerable to the development of new lesions. Florid cemento-osseous dysplasia and a dental abscess.

Services on Demand Journal. A pathologic spectrum of cases. Dentin formation in so-called cmento lesions of the jaw: Due to the nature and evolution of this lesion, no treatment is necessary. Failure of dental implants in cemento-osseous dysplasia: R Fac Odontol Porto Alegre.

Florid cemento-osseous dysplasia may be familial with an autosomal dominant inheritance pattern, but there are only a few examples in the literature in which the familial pattern has been confirmed 1,8, Biochemical analysis of serum alkaline phosphatase, calcium and phosphorus were carried out for differential diagnosis with Paget’s disease and were shown to be within the normal limits. Florid osseous dysplasia of the mandible: These aspects characterized the cementoblastic stage of the development.

Services on Demand Journal. Radiographically, the lesions appear as multiple sclerotic masses, located in two or more quadrants, usually in the tooth-bearing regions. According to the stimuli applied to its structure, the form and volume that define bone design may be remodeled.

All teeth in this area were submitted to thermal test, which responded positively demonstrating that tooth vitality was preserved. Progression from fibroblastic to mineralized lesions makes dysplastic bone hypovascularized and hard, compromising the tissue response to injuries.

Florid Cemento-Osseous Dysplasia simultaneous the chronic suppurative osteomyelitis in mandible. The term florid cemento-osseous dysplasia was also adopted for gigantiform cementomas. Komabayashi T, Zhu Q. Oral rehabilitation with endosseous implants in a patient with fibrous dysplasia McCune-Albright Syndrome: Several authors recommend that the two lesions, although they have some points in common, should be classified separately as two distinct entities.


The nature and biological behavior of bone dysplasia are often associated with structural changes in the bone that compromise its normal blood supply and plasticity, resulting in potential problems for osseointegration. Florid cemento-osseous dysplasia is more commonly seen in middle-aged black women, although it also may occur in Caucasians and Asians 5,6.

The process may be totally asymptomatic and, in such cases, the lesion is detected when radiographs are taken for some other purposes She was systemically healthy and extra-oral examination was within normal limits.


Sincethe WHO, in studies such as the one conducted by Pindborg and Ossfa, 6 among others, has attempted to unify the nomenclature and classification of odontogenic neoplasia, among which are the fibro-osseous lesions. It is more frequent in black women about 40 years old at the time of diagnosis, with a prevalence of 5.

Florid cemento-osseous dysplasia has been described as a condition that characteristically affects the jaws of middle-aged black women. In this regard, we analyzed pertinent aspects of the indications for dental implants in patients with COD considering the pathogenesis, dysplastic nature, and behavior of the disease.

In this present case report, a year-old melanoderm female patient ceemnto for dental treatment because of a discomfort in the bicuspid area where there were osseointegrated implants. Intra-osseous lesion misdiagnosis found in routine examinations is common. This pathological alteration can assume several clinical forms and therefore receive different denominations They concluded that the clinical entity called focal cemento-osseous dysplasia was an initial phase of florid cemento-osseous dysplasia that gradually compromises the other oseea to result in the complete or generalized symptoms of the disease.

The dentist must be aware of the appearance of these lesions in clinical practice and have enough knowledge to determine the proper diagnosis, avoiding therefore inappropriate approaches which can compromise the patient’s health. The present case report illustrates that COD can be considered a limiting factor in the recommendation for a dental implant. Radiographically, they are dense lesions and lobulated masses that are microscopically composed of tissue that resembles cement.


This overlapping reveals that these radiopaque and radiolucent masses are random in a variety of radiographic images. This classification includes cemento-ossifying fibroma, benign cementoblastoma and the cemento-osseous dysplasia group, in which periapical cemental dysplasia and florid cemento-osseous dysplasia are included. During the patient’s examination, a routine panoramic radiograph was executed and revealed the presence of a lesion with mixed radiographic aspect.

The Swedish system of osseointegrated implants: Osseointegrated dental implants have pssea routinely used in oral rehabilitation.

In these cases, tests evaluating pulp tissue vitality are important to elucidate any clinical confusion 8.

displasia cemento ossea florida e caninos impactados

Periapical cemento-osseous dysplasia is a condition with particular characteristics and whose diagnosis is based on the case’s clinical and radiographic information.

However, the need to use the term gigantiform cementoma or familial gigantiform cementoma was demonstrated by Young et al 9 inwho described five generations of a family with familial gigantiform cementoma of dominant autosomal character. The radiolucent areas reveal irregular and focal irregular radiopaque areas that gradually unite to form radiopaque masses, usually surrounded by irregular radiolucent areas that interface with normal neighboring bone and are filled with soft tissue that has not yet been mineralized.

COD can present different standards of clinicopathologic expression, considering the number of lesions and the stage of the disease.

Florid cemento-osseous dysplasia: a contraindication to orthodontic treatment in compromised areas

Additionally, although the lesions are close to the tooth apex, the periodontal ligament remains cemenro visible in radiographs 9. Gigantiform cementoma affecting a Caucasian family. Dental implants in periodontal therapy.