Clinical, radiographic, and histological findings of florid cemento-osseous dysplasia: a case report

Abstract

The term florid cemento-osseous dysplasia (FCOD) refers to a group of fibro-osseous (cemental) exuberant lesions with multi-quadrant involvement. 1 FCOD is a rare condition presenting in the jaw. This lesion is the most commonly found in middle-aged black women, although it also may occur in Caucasians and Asians, 2,3 and has been entitled as sclerosing osteitis, multiple enostoses, diffuse chronic osteomyelitis, and gigantiform cementoma. 5] Symptoms such as dull pain or drainage are almost always associated with exposure of sclerotic calcified masses in the oral cavity. This may occur as the result of progressive alveolar atrophy under a denture or after extraction of teeth in the affected area. COD lesions have a striking tendency toward bilateral, often quite symmetrical, location, and it is not unusual to find extensive lesions in all four posterior quadrants of the jaw. Computed tomography (CT) is useful for the evaluation of this lesion because of its ability to acquire axial, sagittal, and frontal views.