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Recurrent symptomatic cemento-osseous dysplasia: A case report

Imaging Science in Dentistry 2018³â 48±Ç 2È£ p.131 ~ 137
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¹Îâ±â ( Min Chang-Ki ) - Chonbuk National University School of Dentistry Department of Oral and Maxillofacial Radiology
°í±¤ÁØ ( Koh Kwang-Joon ) - Chonbuk National University School of Dentistry Department of Oral and Maxillofacial Radiology
±è°æ¾Æ ( Kim Kyoung-A ) - Chonbuk National University School of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


Cemento-osseous dysplasia (COD) is a benign fibro-osseous lesion of bone, in which normal bone is replaced by fibrous tissue, followed by calcification with osseous and cementum-like tissue. COD is classified into 3 categories according to its location: periapical, focal, and florid COD (FCOD). On radiography, FCOD appears radiolucent in its early stages. As it matures, radiopacities appear within the lesion, causing them to show a mixed appearance of radiolucency and radiopacity. Because FCOD is usually asymptomatic and grows in a self-limited manner, it does not require treatment. Secondary infection is the most frequent cause of symptomatic cases. We report a case of FCOD with symptoms that appeared after a dental restoration procedure and persisted after repeated operations. The purpose of this report is to emphasize the importance of thorough radiological evaluations of patients with FCOD before treatment.

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Florid Cemento-osseous Dysplasia; Bone Diseases; Radiography; Panoramic; Cone-Beam Computed Tomography

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