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Treatment of osteomyelitis in mandible associated with florid cemento-osseous dysplasia: A case report

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Florid cemento-osseous dysplasia (FCOD) is a fibro-osseous lesion that characteristically affects the jaw bones of multi-quadrant radiopaque cementum-like masses. FCOD is a rare condition affecting jaw bones and is diagnosed principally by its characteristic clinico-radiological features. As the condition remains asymptomatic, no surgical treatment is required. However, surgical trauma in the form of a biopsy, tooth extraction, or poor fitting dentures can lead to a chronically draining site that does not heal and can progress to osteomyelitis. Treatment of osteomyelitis depends on appropriate antibiotic therapy and often requires surgical removal of infected and necrotic tissue. This paper reports a rare case of FCOD affecting mandible with osteomyelitis.

Abstract

Florid cemento-osseous dysplasia (FCOD) is a fibro-osseous lesion that characteristically affects the jaw bones of multi-quadrant radiopaque cementum-like masses. FCOD is a rare condition affecting jaw bones and is diagnosed principally by its characteristic clinico-radiological features. As the condition remains asymptomatic, no surgical treatment is required. However, surgical trauma in the form of a biopsy, tooth extraction, or poor fitting dentures can lead to a chronically draining site that does not heal and can progress to osteomyelitis. Treatment of osteomyelitis depends on appropriate antibiotic therapy and often requires surgical removal of infected and necrotic tissue. This paper reports a rare case of FCOD affecting mandible with osteomyelitis.

참고문헌 (6)

  1. Mangala M, "Florid cemento-osseous dysplasia: review and report of two cases", Indian J Dent Res, 17, pp.131~134 (2006)
  2. 김정희, "Clinical, radiographic, and histological findings of florid cemento-osseous dysplasia: a case report", Imaging Science in Dentistry, 41(3), pp.139~142 (2011), 대한구강악안면방사선학회
  3. Sapp JP, "Contemporary oral and maxillofacial pathology", pp.167~ (2004), Mosby
  4. Kutluay Köklü H, "Florid cemento-osseous dysplasia: report of a case documented with clinical, radiographic, biochemical and histological findings", J Clin Exp Dent, 5, pp.e58~e61 (2013)
  5. Yeoh SC, "Chronic suppurative osteomyelitis of the mandible: case report", Aust Dent J, 50, pp.200~203 (2005)
  6. Mallikarjun K, "Chronic suppurative osteomyelitis of the mandible", J Indian Soc Pedod Prev Dent, 29, pp.176~179 (2011)

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