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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Which factor triggers this pathologic process? In this process of intense and abnormal bone sclerosis, normal bone is replaced with a densely formed tissue, irregularly distributed and peppered with radiolucent areas of soft tissue found primarily in the alveolar process Figs 1 to 4including the interdental and interradicular septa. Failure of dental implants in cemento-osseous dysplasia: Management of these conditions involves clinical-radiographic follow-up. Services on Demand Journal.

In this case, it is clearly possible to identify areas of normal bone among the lesions 57. The term florid cemento-osseous dysplasia was also adopted for gigantiform cementomas.

displasia cemento ossea florida e caninos impactados

Florid cemento-osseous dysplasia in Orientals. Is COD a self-limiting disease that is expressed solely in the areas where lesions are present, or osswa these lesions only local and temporary stages of a progressive syndromic picture expressed on an apparently healthy but primarily dysplastic bone susceptible to new lesions?

Organized bone remodeling is a fundamental phenomenon for tooth movement. However, Langlais et al. This disorder of the periodontal ligament stem cells may explain why this mineralized material has already been described as similar to cementum and bone, between fibrous tissue similar to the periodontal ligament.

RSBO (Online) – Periapical cemento-osseous dysplasia: case report

Compend Contin Educ Dent ; Periapical cemento-osseous dysplasia is a pathologic entity resulting from bone and cementum reactional process which affects the periapical region of the anterior mandible. Orthodontists should make an accurate diagnosis when planning treatments, as florid cemento-osseous dysplasia, when fully established, is one of the extremely rare situations in which orthodontic treatment is contraindicated.


Densely mineralized and disorganized bone cannot remodel and develop on the periodontal ligament and alveolar bone, and these are the phenomena required for tooth movement. In this paper, we present a case of a patient with COD in which a dental implant had been installed and lost six months later. Without a normal adequate bone remodeling process, there is no orthodontic movement, or, when there is some movement, it is not enough to restore the normal esthetics and functions.

If at a certain time the disease affects only the mandible, implant placement and tooth movement in the areas not affected and in the maxilla may be performed. Radiographically, the lesions appear as multiple sclerotic masses, located in two or more quadrants, usually in the tooth-bearing regions.

In the present case no familial aspects of the disease could be established. During clinical examination, it could be noted the presence of caries lesions, gingival retraction, periodontal pocket at tooth 17 and a nodular lesion in lower lip whose diagnosis was fibrous hyperplasia.

Because the teeth remain vital, tooth extraction or endodontic treatment should not be performed On the other hand, regular following-up examinations are recommended comprising dental prophylaxis and oral hygiene instruction reinforcement to prevent diwplasia disease and caries lesions which can lead to tooth loss J Am Dent Assoc.

The panoramic radiography revealed the presence of an extensive radiolucent lesion with radiopaque areas located between the roots of the teeth 43 and Como citar este artigo.

Treatment of a maxillary molar in a patient presenting with florid cemento-osseous dysplasia: Periapical cemento-osseous dysplasias are probably the most common fibro-osseous lesions found in clinical practice. Oral rehabilitation with osteointegrated implants in oncologic patiens.

Summerlin and Tomich 10 reanalyzed cases of more localized lesions, such as cementifying fibroma and central ossifying fibrous dysplasia of the jawbones, chronic sclerosing osteomyelitis, sclerotic cemental masses and fibro-osseous lesions, under several focuses, in Their occurrence together in oszea same patient seems to be a fortuitous and rare occurrence.


Int J Oral Maxillofac Surg. Simple sisplasia scaling, implant placement or extraction is sufficient to induce chronic suppurative osteomyelitis secondary to florid cemento-osseous dysplasia On the other hand, clinical and histological evidences show this condition has a histogenetic origin derived from the periodontal ligament She was systemically healthy and extra-oral examination was within normal limits.

Failure of dental implants in cemento-osseous dysplasia: a critical analysis of a case

Organized dizplasia remodeling is a fundamental phenomenon for the success of orthodontic movement. However, other terms have been used for this pathological entity, such as: These structures of tissue similar to cementum may fuse to each other and produce larger aggregates with rounded contours accounting for increasing the radiopacity degree within the lesions Progression from fibroblastic to mineralized lesions makes dysplastic bone hypovascularized and hard, compromising the tissue response to injuries.

Additionally, although the lesions are close to the tooth apex, the periodontal ligament remains clearly visible in radiographs 9. The reasons for this contraindication are:.

Florid cemento-osseous dysplasia mimicking multiple periapical pathology–an endodontic dilemma.

These lesions exhibit a sclerotic appearance similar to that of other lesions on conventional radiographs. Osseointegrated dental implants have been routinely used in displasja rehabilitation. This may occur as the result of progressive alveolar atrophy under a denture or after extraction of teeth in the affected area 6, In parallel, Bencharit et al.