(1) King Hussein Medical center, Amman, Jordan
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Florid cemento-osseous dysplasia is one of the terms that have been designated by the World Health Organization as cemento-osseous dysplasias of the jaws. The word 'florid' was introduced to describe the wide spread, extensive manifestations of the disease in the jaws. The condition is usually asymptomatic, however, in some cases symptoms of dull pain or signs of infection may be noted in the involved area . Florid cemento-osseous dysplasia (FCOD) has been described as a condition that typically affects middle-aged black women, and usually manifests as multiple radiopaque cementum-like masses distributed throughout the jaws. This paper reports a case of a 15 year clinical and radiographic follow up of florid cemento osseous dysplasia.
A case of asymptomatic uncomplicated florid cemento-osseous dysplasia occurring in a 59-year-old Jordanian female is reported, which can be considered rare regarding race distribution. The long-term follow-up (15 years) shows the different stages of maturation of the lesions and confirms that the condition is self-limited. The diagnosis was based on clinical and radiographic features only.
The diagnosis of FOCD mainly relies on radiographic and clinical findings. Vitality tests of related teeth are an essential addition to the diagnosis in order to avoid unnecessary endodontic therapy. Biopsy should be avoided in asymptomatic lesions as it may precipitate infection which might be difficult to control without surgical intervention.