Infected florid cemento-osseous dysplasia: About one clinical observation

Abstract

Background: Florid cemento-osseous dysplasia is a fibro-osseous benign lesion of the jaws characterized by multifocal lesions that affect many quadrants of the maxilla and the mandible. It predominantly affects the female of African origin, and is often asymptomatic and detected as an incidental finding in a radiograph. Its management depends on the clinical manifestation. When required, it consists on the surgical removal of the lesion. Objectives: This study aims to describe an unusual presentation of florid cemento-osseous dysplasia with lesions at different stage of maturation, and its management. Case presentation: Our study concerns a case of florid cemento-osseous dysplasia with the lesions on the both quadrant of the mandible presenting with different clinical manifestations. One was symptomatic, secondary to an infection, and the second was diagnosed accidently on the radiographic examination for the exploration of the first lesion that was misdiagnosed as an osteitis. According to the recommendations of the literature, the therapeutic used was thus different for each lesion. The symptomatic lesion was removed surgically, while the asymptomatic lesion was subject to a follow-up. The recovery was without any particularity. Conclusion: Florid cemento-osseous dysplasia is a well-defined clinical and radiological entity that can present with lesions at different stage of maturation, leading to the personalization of the treatment for each patient.

Keywords

• Dysplasia
• Cemento-osseous
• Florid
• Mandible