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Sharma S, Blicher B, Pryles RL, Kerr DA, Addante R. Cementoblastoma Mimicking Pathology of Endodontic Origin: A Case Report. Compend Contin Educ Dent 2024; 45:210-212. [PMID: 38622081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
Abstract
Interdisciplinary care in the management of complex pathology is critical to ensure patients receive predictable, evidence-based treatment. The authors report the unique case of a healthy 38-year-old female patient who presented to a private endodontics practice with a radiopaque lesion associated with the root of tooth No. 20. The patient experienced mild and occasional palpation tenderness associated with the tooth. Extraoral examination and intraoral soft tissues presented without any abnormalities. Intraoral radiographs revealed a radiopacity overlying the apex of tooth No. 20. A cone-beam computed tomography scan of the region revealed a well-delineated bulbous radiopaque lesion attached to the lingual aspect of the apical third of the root of tooth No. 20. The lesion could not be distinguished from the root outline and presented with a radiolucent halo along its periphery. The differential diagnosis at the time consisted of cementoblastoma, condensing osteitis, hypercementosis, and periapical cemento-osseous dysplasia. The patient was referred to an oral and maxillofacial surgeon for evaluation and treatment. Tooth No. 20 was subsequently treated with an excisional biopsy and concurrent extraction of the tooth. Histologic examination of the lesion supported the diagnosis of cementoblastoma.
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Affiliation(s)
| | - Brooke Blicher
- Assistant Clinical Professor, Department of Endodontics, Tufts University School of Dental Medicine, Boston, Massachusetts; Lecturer, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine, Boston, Massachusetts; Co-founder, Pulp Nonfiction Endodontics; Private Practice limited to Endodontics, White River Junction, Vermont
| | - Rebekah Lucier Pryles
- Assistant Clinical Professor, Department of Endodontics, Tufts University School of Dental Medicine, Boston, Massachusetts; Lecturer, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine, Boston, Massachusetts; Co-founder, Pulp Nonfiction Endodontics; Private Practice limited to Endodontics, White River Junction, Vermont
| | - Darcy A Kerr
- Associate Professor of Pathology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
| | - Rocco Addante
- Professor of Surgery, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
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Nishimura S, Oda M, Habu M, Takahashi O, Tsurushima H, Otani T, Yoshiga D, Wakasugi-Sato N, Matsumoto-Takeda S, Nishina S, Yoshii S, Sasaguri M, Yoshioka I, Morimoto Y. Imaging Characteristics of Embedded Tooth-Associated Cemento-Osseous Dysplasia by Retrospective Study. Tomography 2024; 10:231-242. [PMID: 38393286 PMCID: PMC10891647 DOI: 10.3390/tomography10020018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/30/2024] [Accepted: 02/07/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Since there are many differential diagnoses for cemento-osseous dysplasia (COD), it is very difficult for dentists to avoid misdiagnosis. In particular, if COD is related to an embedded tooth, differential diagnosis is difficult. However, there have been no reports on the characteristics of the imaging findings of COD associated with embedded teeth. The aim of the present study was to investigate the occurrence and imaging characteristics of cemento-osseous dysplasia (COD) associated with embedded teeth, in order to appropriately diagnose COD with embedded teeth. METHODS The radiographs with or without histological findings of 225 patients with COD were retrospectively analyzed. A retrospective search through the picture archiving and communication system (PACS) of the Division of Oral and Maxillofacial Radiology of Kyushu Dental University Hospital was performed to identify patients with COD between 2011 and 2022. RESULTS Fifteen COD-associated embedded mandibular third molars were identified in 13 patients. All 13 patients were asymptomatic. On imaging, COD associated with embedded mandibular third molars appeared as masses that included calcifications around the apex of the tooth. On panoramic tomography, COD showed inconspicuous internal calcification similar to that of odontogenic cysts or simple bone cysts, especially in patients with COD only around the mandibular third molar region. Those with prominent calcification resembled cemento-ossifying fibroma, calcifying epithelial odontogenic tumor, calcifying odontogenic cyst, adenomatoid odontogenic tumor, and so on, as categories of masses that include calcifications on panoramic tomography and computed tomography. CONCLUSIONS The current investigation is the first to report and analyze the imaging characteristics of COD associated with embedded teeth. It is important to consider the differences between COD and other cystic lesions on panoramic tomography, and the differences between COD and masses that include calcifications on CT.
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Affiliation(s)
- Shun Nishimura
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan; (S.N.); (M.O.); (N.W.-S.); (S.M.-T.); (S.N.)
| | - Masafumi Oda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan; (S.N.); (M.O.); (N.W.-S.); (S.M.-T.); (S.N.)
| | - Manabu Habu
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu 803-8580, Japan; (M.H.); (O.T.); (M.S.)
| | - Osamu Takahashi
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu 803-8580, Japan; (M.H.); (O.T.); (M.S.)
| | - Hiroki Tsurushima
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan; (H.T.); (T.O.); (D.Y.); (I.Y.)
| | - Taishi Otani
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan; (H.T.); (T.O.); (D.Y.); (I.Y.)
| | - Daigo Yoshiga
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan; (H.T.); (T.O.); (D.Y.); (I.Y.)
| | - Nao Wakasugi-Sato
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan; (S.N.); (M.O.); (N.W.-S.); (S.M.-T.); (S.N.)
| | - Shinobu Matsumoto-Takeda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan; (S.N.); (M.O.); (N.W.-S.); (S.M.-T.); (S.N.)
| | - Susumu Nishina
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan; (S.N.); (M.O.); (N.W.-S.); (S.M.-T.); (S.N.)
| | - Shinji Yoshii
- Division of Promoting Learning Design Education, Department of Physical Function, Kyushu Dental University, Kitakyushu 803-8580, Japan;
| | - Masaaki Sasaguri
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu 803-8580, Japan; (M.H.); (O.T.); (M.S.)
| | - Izumi Yoshioka
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan; (H.T.); (T.O.); (D.Y.); (I.Y.)
| | - Yasuhiro Morimoto
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan; (S.N.); (M.O.); (N.W.-S.); (S.M.-T.); (S.N.)
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Khan S, Gautam N, Sharma T, Pooja SD. Ossifying fibroma mimiking jaw tumour: A radiographic dilema. J Cancer Res Ther 2024; 20:441-444. [PMID: 38554359 DOI: 10.4103/jcrt.jcrt_1757_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 09/02/2022] [Indexed: 04/01/2024]
Abstract
Fibro-osseous lesions (FOLs) of the craniomaxillofacial region comprise a group of developmental, dysplastic, and neoplastic alterations. FOLs include ossifying fibromas (OF), cemento-ossifying fibroma (COF), familial gigantiform cementoma (FGC), fibrous dysplasia (FD), and cemento-osseous dysplasia (COD). Evidence suggests that some FOL, especially FD and OF may have a risk of spontaneous malignant transformation. This report documents a rare case of malignant transformation of ossifying fibromas of the jaw and the probable cause for same. Although it is rare, the clinician should have a complete follow up to observe such changes among the patients having FOLs.
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Affiliation(s)
- Saba Khan
- Department of Oral Medicine and Radiology, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
- Department of Oral Medicine and Radiology, Sankalchand Patel University, Visnagar, Gujarat, India
| | - Nishita Gautam
- Department of Oral Medicine and Radiology, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
| | - Tulika Sharma
- Department of Oral Medicine and Radiology, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
| | - S Dhakad Pooja
- Department of Oral Medicine and Radiology, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
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Qureshi MB, Tariq MU, Abdul-Ghafar J, Raza M, Din NU. Concomitant bilateral mandibular cemento-ossifying fibroma and cementoblastoma: case report of an extremely rare occurrence. BMC Oral Health 2021; 21:437. [PMID: 34493273 PMCID: PMC8425131 DOI: 10.1186/s12903-021-01794-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 07/21/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Cemento-ossifying fibroma (COF) and cementoblastoma (CB) are rare benign odontogenic tumors with a predilection for the mandible. Cemento-ossifying fibroma is a fibro-osseous lesion that originates in the tooth bearing areas of jaw and shows cementum-like tissue in a fibrotic stroma. Cementoblastoma is classically related to roots of teeth with the presence of calcified cementum-like material. To date, only a single case of concomitant unilateral COF and CB has been reported in the literature. CASE PRESENTATION We present an unusual case of a 37-year-old female who presented with two discrete bilateral swellings in the right and left mandible for 10 years. The larger tumor involved the left posterior mandible with extension anteriorly to the left and right anterior mandibles, and the smaller tumor was present in right posterior mandible. Radiology revealed two distinct lesions involving both sides of mandible. Histopathological examination showed characteristic features of cemento-ossifying fibroma in sections of the larger tumor and cementoblastoma in sections of smaller tumor. CONCLUSION This case shows the very unique bilateral co-existence of COF and CB, the second case reported in literature to date.
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Affiliation(s)
- Madiha Bilal Qureshi
- Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan
| | - Muhammad Usman Tariq
- Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan
| | - Jamshid Abdul-Ghafar
- Department of Pathology and Clinical Laboratory, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan
| | - Muhammad Raza
- Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan
| | - Nasir Ud Din
- Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan
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Gresky J, Kalmykov A, Berezina N. Benign fibro-osseous lesion of the mandible in a Middle Bronze Age skeleton from Southern Russia. Int J Paleopathol 2018; 20:90-97. [PMID: 29496222 DOI: 10.1016/j.ijpp.2017.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 09/12/2017] [Accepted: 09/15/2017] [Indexed: 06/08/2023]
Abstract
A discrete dysplastic lesion of the mandible found in a skeleton of a young adult male of the Middle Bronze Age in the Northern Caucasus/Russia is described. The periapical lesion of the right lower canine alveolus was examined by digital microscopy, plain radiology, and plain and polarizing microscopy. Its macroscopic, radiologic and microscopic characteristics are discussed in reference to different fibro-osseous lesions arising from the odontogenic apparatus and maxillofacial skeleton. Periapical osseous dysplasia was considered to be the most likely diagnosis.
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Affiliation(s)
- Julia Gresky
- Department of Natural Sciences, German Archaeological Institute, 14195 Berlin, Germany.
| | - Alexey Kalmykov
- SUE "Nasledie" Ministry of Culture of the Stavropol Region, 355006 Stavropol, Russia
| | - Natalia Berezina
- Research Institute and Museum of Anthropology, Moscow State University, 123001 Moscow, Russia
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Abstract
RATIONALE Familial gigantiform cementoma (FGC) is a rare benign autosomal dominant fibrocemento-osseous lesion generally limited to the facial bones, typically in the anterior portion of the mandible; it is often associated with abnormalities of the long bones and prepubertal pathologic fractures. Owing to the small number of such patients, a uniform treatment criterion has not been established. This paper presents a patient with FGC who was treated in our department, and offers a systematic review of the patients reported in the literature. Our aim was to explore the treatment strategy for patients with FGC. PATIENT CONCERNS Our patient, a 13-year-old boy, presented with a painless enlargement of the mandible first noted 2 years earlier. It had grown rapidly over the preceding 8 months, affecting both his appearance and ability to chew. DIAGNOSIS Based on the pathologic, clinical, and radiographic features, FGC was diagnosed. INTERVENTIONS Mandibuloectomy was performed. The mandibular defect was immediately reconstructed with his right vascularized iliac crest flap. At the same time, a PubMed search was conducted to identify studies reporting on other patients with FGC. OUTCOMES A 3-dimensional computed tomography (3D-CT) scan demonstrated appropriate height of the new alveolar bone. Follow-up results showed recovery of the patient's appearance and mandibular function. He was free of recurrence at 4-year follow-up. LESSONS FGC is a rare benign fibrocemento-osseous lesion of the jaws that can cause severe facial deformity. Incomplete removal leads to more rapid growth of the residual lesion. Therefore, extensive resection is a suitable strategy to avoid recurrence. Defects of the facial bones found intraoperatively should be repaired with resort to an appropriate donor site. However, it is important to be aware that patients with FGC always have concomitant abnormalities of skeletal metabolism and structure, as well as a vulnerability to fractures of the long bones of the lower extremity. Therefore, the optimal management strategy should include a review of treatment options for other patients as reported in the literature. An optimal protocol can not only provide sufficient high-quality bone suitable for the reconstruction of bone defects, but also minimize complications and maximize quality of life.
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Javed A, Hussain Shah SM. Giant Cementoblastoma Of Left Maxilla Involving A Deciduous Molar. J Ayub Med Coll Abbottabad 2017; 29:145-146. [PMID: 28712195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Cementoblastoma is a relatively rare benign tumour. The clinicopathologic features, radiological findings, treatment and prognosis are reported here in a 10-year-old girl who presented to us from Afghanistan. The tumor was managed surgically and the histopathology confirmed the diagnosis of cementoblastoma. There was no evidence of recurrence at one year of follow up.
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Affiliation(s)
- Anam Javed
- Department of Oral and Maxillofacial Surgery, Ayub Teaching Hospital Abbottabad, Pakistan
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Malek M, Cortes LM, Sigurdsson A, Rosenberg PA. Differential Diagnosis of a Periapical Radiolucent Lesion. A Case Report and Review of the Literature. N Y State Dent J 2015; 81:52-56. [PMID: 26521329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This article demonstrates a methodological approach to diagnosing a periapical radiolucency that could not be diagnosed using only basic clinical and radiographic findings. The patient was a 59-year-old Hispanic female with a small tender mass on the lower gingiva associated with tooth #25. Radiographic appearance demonstrated a well-defined radiolucent lesion at the apices of the mandibular incisors. The patient had no significant medical history. Cone-beam computed tomography (CBCT) showed bony expansion of the buccal plate. Differential diagnosis included non-endodontic unilocular radiolucent lesions in the anterior mandibular region. Biopsy findings were consistent with periapical cemento-osseous dysplasia (PCOD). In conclusion, clinical appearance of PCOD varies from non-expansile and asymptomatic to being expansile and sometimes symptomatic. In the latter cases, it may be necessary to use additional diagnostic tools to confirm the diagnosis.
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Damm DD. Apical lesion of mandibular bicuspid. Apical lesion of maxillary molar. Cemento-osseous dysplasia. Cementoblastoma. Gen Dent 2015; 63:78-79. [PMID: 25945770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Nortjé CJ. Maxillo-facial radiology case 126. Gigantiform cementoma. SADJ 2014; 69:471. [PMID: 26506801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Sadda RS, Phelan J. Dental management of florid cemento-osseous dysplosia. N Y State Dent J 2014; 80:24-26. [PMID: 24933769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Cemento-osseous dysplasia encompasses several different clinical and radiographic presentations, including periapical, focal and florid cemento-osseous dysplasia (FCOD). FCOD is usually asymptomatic and discovered only fortuitously. No treatment is required unless the lesion is secondarily infected. Oral hygiene advice should be emphasized for patients with FCOD to prevent caries and periodontal diseases and to maintain natural teeth. Osseointegration of implants would likely not be successful in these patients because the bone is abnormal and not well-vascularized.
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Sujatha D, Shubha G, Anuradha P, Ragavendra MN. Giant cemento-ossifying fibroma of the mandible: a rare case. Gen Dent 2013; 61:e13-e16. [PMID: 24064170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The World Health Organization classifies cemento-ossifying fibroma (COF) as a fibro-osseous neoplasm included among the nonodontogenic tumors derived from the mesenchymal blast cells of the periodontal ligament, with a potential for forming fibrous tissue, cementum and bone, or a combination of such elements. These are slow-growing lesions, and are more frequent in women, between the third and fourth decades of life. Case reports of massive expansile COFs (measuring more than 10 cm) are rarely reported in the literature. This article aims to describe a case of giant cemento-ossifying fibroma with radiographic and 3D CT features in a 34 year old female patient, who came with the complaint of progressive swelling of the face which had started 6 years earlier.
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Baghdady MT, Carnahan H, Lam EWN, Woods NN. Integration of basic sciences and clinical sciences in oral radiology education for dental students. J Dent Educ 2013; 77:757-763. [PMID: 23740912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Educational research suggests that cognitive processing in diagnostic radiology requires a solid foundation in the basic sciences and knowledge of the radiological changes associated with disease. Although it is generally assumed that dental students must acquire both sets of knowledge, little is known about the most effective way to teach them. Currently, the basic and clinical sciences are taught separately. This study was conducted to compare the diagnostic accuracy of students when taught basic sciences segregated or integrated with clinical features. Predoctoral dental students (n=51) were taught four confusable intrabony abnormalities using basic science descriptions integrated with the radiographic features or taught segregated from the radiographic features. The students were tested with diagnostic images, and memory tests were performed immediately after learning and one week later. On immediate and delayed testing, participants in the integrated basic science group outperformed those from the segregated group. A main effect of learning condition was found to be significant (p<0.05). The results of this study support the critical role of integrating biomedical knowledge in diagnostic radiology and shows that teaching basic sciences integrated with clinical features produces higher diagnostic accuracy in novices than teaching basic sciences segregated from clinical features.
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Affiliation(s)
- Mariam T Baghdady
- Toronto General Hospital, Faculty of Dentistry, University of Toronto, Wilson Centre, Toronto, Ontario, Canada.
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Bist SS, Varshney S, Kumar R, Bhagat S, Gupta N. Juvenile aggressive cemento-ossifying fibroma of the sinonasal tract: case report. Ear Nose Throat J 2011; 90:E3-E7. [PMID: 22109932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Cemento-ossifying fibroma (COF) is a rare nonodontogenic tumor of the periodontal membrane that arises from the mesodermal germ layer. Clinically, these lesions are usually asymptomatic, slowly growing, and well circumscribed. However, they have demonstrated an aggressive course of development in a very small number of cases, particularly in younger patients. Surgical management via wide local excision is necessary because COF is notorious for recurrence, particularly lesions in the paranasal sinuses. We describe a case of juvenile aggressive COF of the sinonasal tract in a 12-year-old boy. This tumor presented with various overlapping clinical, radiologic, and pathologic features, which led to initial confusion and a diagnostic dilemma. We also discuss the radiologic interpretation of COF, which can be helpful in making the diagnosis and in selecting the appropriate surgical approach in a growing child.
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Affiliation(s)
- Sampan Singh Bist
- Department of Otorhinolaryngology-Head and Neck Surgery, Himalayan Institute of Medical Sciences, Jolly Grant, Doiwala, Dehradun 248 140, Uttarakhand, India.
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Abstract
Cemento-osseous dysplasia may present as a focal, periapical or florid lesion in the mandible or maxilla. The lesion may sometimes appear similar to peri-radicular lesions on a periapical radiograph. This report presents a case with irreversible pulpitis and root resorption as well as a mixed radiolucent/radiopaque lesion around a mandibular molar tooth root. Root canal treatment was performed and because of the radiographic signs of root resorption and the patient's fear of having a malignant disease, periapical surgery was also performed. The histopathology report confirmed the presence of florid cement-osseous dysplasia which was mimicking apical periodontitis. Follow-up radiography 12 months after the surgery illustrated complete healing of the radiolucent area.
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Affiliation(s)
- Ali Reza Rekabi
- Private Practice, Tehran, Iran Endodontic Department, Shahed Dental School, Tehran, Iran Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran School of Dentistry, University of Western Australia, Perth, Western Australia, Australia
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Khonsari RH, Corre P, Bouguila J, Piot B. [Long-term follow-up of cemento-osseous dysplasia: a contralateral recurrence before radiotherapy]. ACTA ACUST UNITED AC 2011; 112:51-3. [PMID: 21292289 DOI: 10.1016/j.stomax.2009.02.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2008] [Revised: 01/29/2009] [Accepted: 02/12/2009] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Cemento-osseous dysplasia is a benign fibro-osseous lesion of the jaws. Its complications are very rare. OBSERVATION A panoramic x-ray was made to complete the pre-radiotherapy oral assessment of a 71-year-old female patient presenting with lung adenocarcinoma. This revealed a periapical fibro-osseous lesion on tooth n° 46. She had presented with a similar lesion on tooth n° 36, 16 years before. This had been treated by extraction and alveolar curettage. No surgical treatment was suggested for this recurrence on tooth n° 46. DISCUSSION The diagnosis of focal cemento-osseous dysplasia is usually made on radiological and clinical data. The risk for transition to a florid form is unknown. Exeresis surgery before radiotherapy is discussed.
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Affiliation(s)
- R H Khonsari
- Service de Chirurgie Maxillofaciale et Stomatologie, CHU de Nantes, 1, Place Alexis-Ricordeau, 44000 Nantes, France.
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Suter VGA, Reichart PA, Bosshardt DD, Bornstein MM. Atypical hard tissue formation around multiple teeth. ACTA ACUST UNITED AC 2011; 111:138-45. [PMID: 21237432 DOI: 10.1016/j.tripleo.2010.09.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2010] [Revised: 08/25/2010] [Accepted: 09/02/2010] [Indexed: 11/29/2022]
Affiliation(s)
- Valerie G A Suter
- Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland
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19
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Collins RE, Asturias RF. An aggressive benign cementoblastoma. US Army Med Dep J 2011:91-94. [PMID: 21409769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The case of a 19-year-old woman with benign cementoblastoma is described along with a brief review of the literature and clinopathology of the lesion. This lesion developed a more aggressive nature. A discussion of treatment and rationale is included.
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Salem YMY, Osman YI, Norval EJG. Focal cemento-osseous dysplasia: review and a case report. SADJ 2010; 65:422-423. [PMID: 21180289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Focal cemento-osseous dysplasia is a benign fibro-osseous condition that can be seen in dentate and edentulous patients. It is an asymptomatic lesion and needs no treatment; however follow-up is essential due to the possibility that focal cemento-osseous dysplasia can progress to a condition called florid osseous dysplasia that involves multiple sites. A case report is presented here, along with a review of the differential diagnoses considered in order to reach a final diagnosis of focal cemento-osseous dysplasia.
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Affiliation(s)
- Y M Y Salem
- Restorative Department, University of Western Cape, South Africa
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21
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Saleh J, Summersgill KF. AAOMP case challenge: Incidental radiopaque lesions of the jaws. J Contemp Dent Pract 2010; 11:E071-E74. [PMID: 20953567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Jassem Saleh
- Department of Diagnostic Sciences, University of Pittsburgh, School of Dental Medicine, Pittsburgh, PA, USA.
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22
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Damm DD. Radiopacity with thin radiolucent rim. Focal cemento-osseous dysplasia. Gen Dent 2009; 57:449-451. [PMID: 19903633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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23
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Rodrigues CD, Estrela C. Periapical cemento-osseous dysplasia in maxillary teeth suggesting apical periodontitis: case report. Gen Dent 2009; 57:e21-e24. [PMID: 21466999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This article describes the case of a 34-year-old woman whose prosthodontist had referred her for root canal treatment of tooth No. 10, due to an initial diagnosis of apical periodontitis. Although periapical radiolucencies were present, teeth No. 10 and 11 responded positively to pulp vitality tests. A series of periapical radiographs revealed circumscribed periapical radiolucencies on teeth No. 21 and 28, while teeth No. 23, 24, and 27 were associated with mixed radiolucent/radiopaque periapical lesions. All teeth responded to cold stimulus. Based on the clinical and radiographic findings, a diagnosis of periapical cemento-osseous dysplasia was suggested. A re-evaluation 12 months later confirmed this diagnosis. Tooth No. 10 was restored and the patient was scheduled to return for clinical and radiographic follow-up after one year and three years.
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24
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Noonan V, Kabani S, Gallagher G. Cemento-osseous dysplasia. J Mass Dent Soc 2009; 58:44. [PMID: 19774871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- Vikki Noonan
- Harvard Vanguard Medical Associates, Department of Oral Pathology, USA
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25
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Mustafaev DM, Afzaĭesh D, Selin EV, Kopchenko OO. [Cementoma of the maxillary sinus spreading into the cells of the ethmoidal labyrinth and the left half of the nasal cavity]. Vestn Otorinolaringol 2009:53-55. [PMID: 19530281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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26
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Islam MN, Cohen DM, Kanter KG, Stewart CM, Katz J, Bhattacharyya I. Florid cemento-osseous dysplasia mimicking multiple periapical pathology--an endodontic dilemma. Gen Dent 2008; 56:559-562. [PMID: 18810917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A case of florid cemento-osseous dysplasia (COD) mimicking periapical pathology is presented. The fact that the patient's lesion failed to resolve three years after root canal therapy, in addition to the presence of a mixed radiolucency with discreet radiopacities, mandated a biopsy which (along with radiographic co-relation) confirmed the diagnosis of cemento-osseous dysplasia. This case report illustrates the point that periapical radiolucencies may represent benign fibro-osseous lesions that may be overlooked or result in unnecessary endodontic treatment.
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Affiliation(s)
- Mohammed Nadimul Islam
- Department of Oral Pathology, Medicine and Radiology, Indiana University, School of Dentistry, Indianapolis, USA
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27
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Cavalcante ASR, Sgarbi FC, Agapito LDC, Roveroni LHD, Brandao AAH, Cabral LAG. Florid cemento-osseous dysplasia: a report of three cases. Gen Dent 2008; 56:186-190. [PMID: 18348379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Florid cemento-osseous dysplasia (FCOD) is a non-neoplastic condition of the jaws that is not associated with inflammation of the pulp or periodontal tissue. This article reports on three cases that were diagnosed as FCOD, demonstrating the importance of both clinical and radiographic diagnosis and the clinical management of these lesions.
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Affiliation(s)
- Ana Sueli Rodrigues Cavalcante
- Department of Bioscience and Oral Diagnosis, School of Dentistry, Paulista State University Julio de Mesquita Filho--UNESP, Sao Jose dos Campos, SP, Brazil
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28
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Oral Pathology Quiz #61. Case number 3. Periapical cemento-osseous dysplasia. J N J Dent Assoc 2008; 79:19, 27. [PMID: 19180741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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29
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Ramesh A, Pabla T. Incidental finding on dental radiographs: benign fibro-osseous lesions of the jaws. J Mass Dent Soc 2008; 57:60-61. [PMID: 19146121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Aruna Ramesh
- Department of General Dentistry, Tufts University School of Dental Medicine, USA
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30
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Abstract
Cemento-ossifying fibromas are relatively rare benign, non-odontogenic tumours of the jaw, a subdivision of fibro-osseous lesions. These tumours occur in the third and fourth decades of life, with predilection for women. Majority of the lesions are found in the posterior region of the mandible. We present a rare case of cemento-ossifying fibroma involving the mentum of the mandible in a 50-year-old lady and discuss the plain radiographic and computed tomographic features of the condition.
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Affiliation(s)
- A G Hombal
- Department of Radio-Diagnosis, J.J.M. Medical College, Davangere, Karnataka, India.
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31
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Zaitoun H, Kujan O, Sloan P. An Unusual Recurrent Cementoblastoma Associated With a Developing Lower Second Molar Tooth: A Case Report. J Oral Maxillofac Surg 2007; 65:2080-2. [PMID: 17884542 DOI: 10.1016/j.joms.2006.06.288] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2006] [Accepted: 06/15/2006] [Indexed: 11/17/2022]
Affiliation(s)
- Halla Zaitoun
- Alder Hey Children's Hospital, Royal Liverpool Children's NHS Trust, Alder Hey, Liverpool, UK
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32
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Findler M, Tau S, Findler M, Tamse A. [Root canal treatments in a patient with florid cemento-osseous dysplasia]. Refuat Hapeh Vehashinayim (1993) 2007; 24:30-55. [PMID: 17939325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
This article follows the comprehensive dental treatment of a patient who presented with multi periapical radiolucencies on a complete set of periapical radiographs. All the affected teeth were treated and root canal fillings were performed. None of the periapical radiolucencies showed any evidence of a healing process. On a later stage, the lesions have been diagnosed as florid cemento-osseous dysplasia. (In this article the correct diagnosis and treatment will be discussed).
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Affiliation(s)
- M Findler
- Dept. of Oral Medicine, the Hebrew University Hadassah, Faculty of Dental Medicine, Jerusalem, Israel
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33
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Nortjé CJ. General practitioner's radiology case 51. SADJ 2007; 62:178. [PMID: 17907586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Affiliation(s)
- C J Nortjé
- Faculty of Dentistry, University of the Western Cape.
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34
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Infante-Cossio P, Hernandez-Guisado JM, Acosta-Feria M, Carranza-Carranza A. Cementoblastoma involving the maxillary sinus. Br J Oral Maxillofac Surg 2007; 46:234-236. [PMID: 17467126 DOI: 10.1016/j.bjoms.2007.03.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2007] [Indexed: 10/23/2022]
Abstract
A cementoblastoma is rare, benign, and of odontogenic ectomesenchymal origin, usually associated with the roots of the first mandibular tooth. We present an unusual case of one that involved the roots of the first and second maxillary molars, extended into the maxillary sinus, and was associated with a displaced unerupted third molar. The initial presentation was misleading and resulted in inadequate management. The definitive diagnosis had not been established until 2 years later.
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Affiliation(s)
- P Infante-Cossio
- Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain.
| | - J M Hernandez-Guisado
- Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain
| | - M Acosta-Feria
- Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain
| | - A Carranza-Carranza
- Department of Pathology, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain
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35
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Abstract
Only three Indian patients of florid cemento-osseous dysplasia have been reported (less than 2%), according to the review of recent literature (2003). This makes the occurrence of FCOD a relatively rare phenomenon. The age group may vary from 19-76 years and typically presents in the fourth and fifth decade. In most of the cases, patients do not have family history of the disease. We report two cases showing classic radiologic features. The diagnosis of our cases were made radiographically.
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Affiliation(s)
- M Mangala
- Department of Oral Medicine Dental College and Hospital, Bagalkot, Kamataka, India.
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36
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Abstract
Cementoblastomas are benign lesions of the odontogenic ectomesenchyme that rarely occur related to the primary dentition, especially on the left side of the mandible. This study describes a case of a true cementoblastoma related to the left second primary mandibular molar in a 7-year-old child (the largest one seen in the left side of the mandible). Additionally, the radiographic and histologic findings of the lesion are described in details.
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37
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Brooks JK, Nikitakis NG. Tender, swollen mandible. Abscess associated with florid cemento-osseous dysplasia. Gen Dent 2007; 55:73, 76. [PMID: 17333973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Affiliation(s)
- John K Brooks
- Department of Diagnostic Sciences and Pathology, Dental School, University of Maryland, Baltimore, USA
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38
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Abstract
Six cases of cemento-osseous dysplasia (COD) of the jaw bone in Jamaicans are reviewed. Five were documented over a 15-year period (1980-1995). These include a case of florid cemento-osseous dysplasia (previously called gigantiform cementoma). Three of the initial cases were histologically diagnosed as gigantiform cementoma. There was no indication in the patient's case file whether these were familial or non-familial. The other two cases were diagnosed histologically as periapical cemento-osseous dysplasia and cementoblastoma respectively. Based on the current understanding of the nature of florid-cemento-osseous dysplasia (FLCOD), a new case was diagnosed as such solely on radiological findings. This single case of FLCOD is reported and discussed against the background of other cemento-osseous lesions. Special emphasis is placed on the radiology of COD in this paper. The confirmative role of radiology without the need for histophathology and treatment for asymptomatic FLCOD is emphasized.
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Affiliation(s)
- C Ogunsalu
- School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago.
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39
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Oral pathology quiz #51. Case number 3. Cementoblastoma. J N J Dent Assoc 2006; 77:29, 40. [PMID: 16796344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
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40
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Cheng YSL, Wright JM. Oral and maxillofacial pathology case of the month. Focal cemento-osseous dysplasia. Tex Dent J 2005; 122:986-7, 990-1. [PMID: 16320508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Affiliation(s)
- Yi-Shing Lisa Cheng
- Department of Diagnostic Sciences, Baylor College of Dentistry, Texas A&M University System Health Science Center, Dallas, USA
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41
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Harsha VBG, Saraswathy K, Koteeswaran D. Florid cemento-osseous dysplasia. Indian J Dent Res 2005; 16:119-21. [PMID: 16454327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023] Open
Abstract
Cemento-osseous dysplasia is probably the most common fibro-osseous lesion encountered in clinical practice. It is thought to be a reactive phenomenon that arises from elements within the periodontal ligament. Here we present a case of 37-year-old female patient, who reported for a regular dental check-up. Incidentally, mixed radiopaque-radiolucent lesions were found bilaterally in the radiograph. Based on the clinical examination and radiographic evaluation, we arrived at a diagnosis of florid cemento-osseous dysplasia.
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Affiliation(s)
- Vardhan B G Harsha
- Department of Oral Medicine and Radiology, Meenakshi Ammal Dental College and Hospital, Chennai
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42
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Nakayama E, Sugiura K, Ishibashi H, Oobu K, Kobayashi I, Yoshiura K. The clinical and diagnostic imaging findings of osteosarcoma of the jaw. Dentomaxillofac Radiol 2005; 34:182-8. [PMID: 15897290 DOI: 10.1259/dmfr/71175262] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To clarify the valuable clinical features and diagnostic imaging findings regarding the diagnosis of osteosarcoma of the jaw (OSJ). MATERIALS AND METHODS The initial symptoms and diagnostic imaging findings of 10 patients with OSJ were analysed. The points analysed on the diagnostic images were as follows: any widening of the periodontal ligament space of the teeth on the periphery of the OSJ; the presence of radial spicules and Codman's triangle; any signs of bone destruction; and the patterns of osteogenesis. RESULTS All patients had pain and/or swelling of the affected site, and all OSJs, except for one edentulous case, showed a widening of the periodontal ligament space of the teeth on the periphery of the OSJ. Radial spicules or Codman's triangle were observed in only three cases (30%). Four out of five mandibular OSJs were osteolytic or osteolytic dominant with bone destruction, while, in contrast, four out of five maxillary OSJs were osteogenic or osteogenic dominant, and three out of the four maxillary OSJs did not show bone destruction. The osteogenic OSJ without bone destruction was similar to some benign cemento-osseous lesions of the jaw and thus was difficult to diagnose as OSJ based on the diagnostic imaging findings alone. CONCLUSION Even though some OSJ showed features similar to the benign tumours of the jaw bone based on the diagnostic imaging findings, the pain and swelling of the affected site, and the widening of the periodontal ligament space of the teeth on the periphery of OSJ were considered to be common findings, which may help in making an accurate diagnosis of OSJ in this limited series.
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Affiliation(s)
- E Nakayama
- Department of Oral and Maxillofacial Radiology, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
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43
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Mupparapu M, Singer SR, Milles M, Rinaggio J. Simultaneous presentation of focal cemento-osseous dysplasia and simple bone cyst of the mandible masquerading as a multilocular radiolucency. Dentomaxillofac Radiol 2005; 34:39-43. [PMID: 15709105 DOI: 10.1259/dmfr/28162263] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The fibro-osseous lesions represent a large group of disorders that have many common characteristics including clinical, radiographic and microscopic features. Although most are of unknown aetiology, some are believed to be neoplastic and others are related to metabolic imbalances. It is not unusual to see these lesions presenting with a range of radiographic appearances, causing considerable diagnostic confusion owing to their similar histology. This case report presents a histologically benign cemento-osseous lesion that is radiographically consistent with a focal cemento-osseous dysplasia, along with a concomitant simple (traumatic) bone cyst within the right mandibular alveolus, with the initial presentation as a multilocular radiolucency. Pertinent literature is reviewed.
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Affiliation(s)
- M Mupparapu
- Department of Diagnostic Sciences, D-860, New Jersey Dental School, 110 Bergen Street, P.O. Box 1709, Newark, NJ 07101-1709, USA.
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44
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Abstract
A case report of a 49-year-old black woman with florid cemento-osseous dysplasia is presented. Endodontic treatment of a maxillary first molar and a general review of florid cemento-osseous dysplasia are presented. Treatment considerations including diagnosis, difficulty in radiographic interpretation, working length determination, and postoperative concerns are discussed.
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Affiliation(s)
- Matthew B Tonioli
- Department of Endodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA
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45
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Nortjé CJ. General practitioner's radiology case 23. Periapical cemental dysplasia. SADJ 2004; 59:257-8. [PMID: 15457912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Affiliation(s)
- C J Nortjé
- Faculty of Dentistry, University of the Western Cape.
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46
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Bsoul SA, Terezhalmy GT, Moore WS. Focal cemento-osseous dysplasia. Quintessence Int 2004; 35:418-9. [PMID: 15130085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Affiliation(s)
- Samer A Bsoul
- Dental Diagnostic Science, University of Texas Health Science Center, San Antonio, USA
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47
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Pippi R, Della Rocca C, Sfasciotti GL. Periapical cemental (fibrous) dysplasia. Clinical, radiographic and pathologic aspects in 7 reported cases. Minerva Stomatol 2004; 53:135-41. [PMID: 15107770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
AIM Periapical cemental dysplasia (PCD) is a relatively common, well-defined pathology. Because of the structural similarities existing in the group of the so-called "fibro-(cemento)-osseus lesions" of the jaws, to which PCD belongs, clinical and radiographic findings are probably more diagnostic than histology. The aim of the present paper is to analyse some new cases of PCD and to compare their clinical, radiographic and histologic features to those reported by the international literature. METHODS Seven new cases of PCD are presented here; they were observed in a 12-year period of time. All the patients are white women and 6 lesions exceeded 1 cm in diameter. Only 2 patients were surgically treated, but all of them are still today clinically and radiographically followed. RESULTS Clinical, radiographic and histologic data of our cases are generally in agreement with those provided by the international literature. CONCLUSION Finally, stress is laid on the existing difficulty, at present as well as in the past, of establishing definitive classification criteria for all fibro-cemento-osseous lesions of the jaws.
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Affiliation(s)
- R Pippi
- Oral Surgery, School of Dentistry, La Sapienza University, Rome, Italy.
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48
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Abstract
Maxillofacial fibro-osseous lesions (FOL) consists of lesions that differ, with the exception of fibrous dysplasia, to those found in the rest of the skeleton. FOLs of the face and jaws are cemento-osseous [corrected] dysplasia, fibrous dysplasia and cemento-ossifying fibroma. Radiology is central to their diagnosis because the pathology for all FOLs is similar, although they range widely in behaviour, from dysplasia, hamartoma to benign neoplasia with occasional recurrence. Furthermore, once diagnosed the management of each is different. For cemento-ossifying dysplasia, this may mean doing nothing, simply because no treatment is generally appropriate. Almost all cemento-osseous [corrected] fibromas should be treated surgically, whereas cases of fibrous dysplasia are treated according to their clinical presentation, ranging from review and follow-up to surgery necessary to save the patient's sight or reduce deformity. The most important and frequent features of the FOLs differential diagnosis is discussed with assistance of a flow-chart.
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Affiliation(s)
- D S MacDonald-Jankowski
- Oral and Maxillofacial Radiology, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
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49
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Lewis DM. Oral pathology: target lesions. Focal cemento-osseous dysplasia. J Okla Dent Assoc 2004; 94:40-2. [PMID: 15218795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
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50
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Affiliation(s)
- Niranjan Khandelwal
- Department of Radiodiagnosis and Bishan Radotra, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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