Affiliation:
1. Department of Oral and Maxillofacial Surgery & Rehabilitation, Faculty of Dental Medicine, Umm Al-Qura University, Mecca, Saudi Arabia
Abstract
Abstract
Rationale:
The term cemento-osseous dysplasia (COD) refers to a bony fibro-osseous lesion, in which fibrous tissue and cementum-like tissue replace normal bone. There are three types of COD: periapical, focal and florid. The condition is usually asymptomatic and treatment is unnecessary; however, a secondary infection could occur, which requires treatment.
Patient Concern:
A 58-year-old female patient presented with symptoms in the mandibular posterior region of the right jaw for six months.
Diagnosis:
Infected florid COD (FCOD).
Treatment:
A pre-operative antibiotic, followed by extraction of non-restorable teeth, debridement of the infected tissue and necrotic bone removal.
Outcome:
The patient was followed for one year, during which all previously reported signs and symptoms were resolved.
Take-away Lessons:
Early lesion detection is essential. Treatment depends on the presence or absence of clinical and radiographic manifestations. The current case was treated surgically to minimise complications.