Cemento-osseous dysplasia: clinical presentation and symptoms
남인혜, Ryu Ji-Hye, 신상훈, 김용덕, 이재열,
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남인혜 ( Nam In-Hye ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
( Ryu Ji-Hye ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
신상훈 ( Shin Sang-Hun ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
김용덕 ( Kim Yong-Deok ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
이재열 ( Lee Jae-Yeol ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
Objectives: The purpose of this study was to evaluate risk factors and symptoms in cemento-osseous dysplasia (COD) patients.
Materials and Methods: In this study, 62 patients who were diagnosed histologically with COD were investigated from 2010 to 2020 at the author’s institution. We compared clinical and radiological characteristics of symptomatic and asymptomatic patients. The factors were sex, age, lesion size, site, radiologic stage of lesion, apical involvement, sign of infection, and history of tooth extraction. Statistical analysis was performed using Fisher’s exact test and the chi-square test.
Results: COD was more prevalent in female patients. With the exception of three cases, all were focal COD. The majority of patients presented with symptoms when the lesion was smaller than 1.5 cm in size. Symptoms were observed when the apex of the tooth was included in the lesion or there was a local infection around the lesion. The history of tooth extraction and previous endodontic treatment were evaluated, and history was not a signifi-cant predictor for the onset of symptoms.
Conclusion: In this study, risk factors associated with symptomatic patients were size of lesion, apical involvement, and local infection.
키워드
Cemento-osseous dysplasia; Periapical cemental dysplasia; Focal cemento-osseoous dysplasia, Florid cemento-osseous dysplasia
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