주의 깊은 검사를 요하는 백악질-골 이형성증 : 증례 보고
Cemento-osseous dysplasia in need of careful examination : a case report
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초록
Cemento-osseous dysplasia (COD) is a fibro-osseous lesion of the maxilla and mandible, originating from a periodontal ligament. It resembles a periapical lesion such as a periapical abscess or a cyst in its early stage. Usually, the affected tooth is vital and without symptoms. A healthy 35-year-old female was referred to the endodontic department for evaluation and endodontic treatment of an amalgam restored mandibular first molar with an apical radiolucency. Since the tooth was sensitive to a cold stimulus, chronic apical periodontitis was suspicious at first sight. But after clinical and radiographic evaluations, multiple periapical COD involving vital teeth of the mandible was diagnosed. No specific treatment of COD was scheduled except for renewing the pre-existing restoration. The present case is a confusing case since COD was associated with an asymptomatic tooth. Knowledge of the clinical features related to pulp vitality tests and cone-beam computed tomography (CBCT) helps determine the differential diagnosis between COD and a periapical lesion.
Abstract
Cemento-osseous dysplasia (COD) is a fibro-osseous lesion of the maxilla and mandible, originating from a periodontal ligament. It resembles a periapical lesion such as a periapical abscess or a cyst in its early stage. Usually, the affected tooth is vital and without symptoms. A healthy 35-year-old female was referred to the endodontic department for evaluation and endodontic treatment of an amalgam restored mandibular first molar with an apical radiolucency. Since the tooth was sensitive to a cold stimulus, chronic apical periodontitis was suspicious at first sight. But after clinical and radiographic evaluations, multiple periapical COD involving vital teeth of the mandible was diagnosed. No specific treatment of COD was scheduled except for renewing the pre-existing restoration. The present case is a confusing case since COD was associated with an asymptomatic tooth. Knowledge of the clinical features related to pulp vitality tests and cone-beam computed tomography (CBCT) helps determine the differential diagnosis between COD and a periapical lesion.
참고문헌 (19)
- Andrea Brody, "Difficulties in the diagnosis of periapical translucencies and in the classification of cemento-osseous dysplasia", BMC Oral Health, 19(1) (2019), Springer Science and Business Media LLC[DOI]
- Camila de Nazaré Alves de Oliveira Kato, "Infected Cemento-Osseous Dysplasia: Analysis of 66 Cases and Literature Review", Head and Neck Pathology, 14(1), pp.173~182 (2019), Springer Science and Business Media LLC[DOI]
- E. S. Senia, "Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature", International Endodontic Journal, 48(11), pp.1086~1099 (2014), Wiley[DOI]
- Paul M. Speight, "New tumour entities in the 4th edition of the World Health Organization Classification of Head and Neck tumours: odontogenic and maxillofacial bone tumours", Virchows Archiv, 472(3), pp.331~339 (2017), Springer Science and Business Media LLC[DOI]
- World Health Organization, "WHO classification of head and neck tumours" (2017), International Agency for Research on Cancer
- Takashi Komabayashi, "Cemento-osseous dysplasia in an elderly Asian male: a case report", Journal of Oral Science, 53(1), pp.117~120 (2011), Nihon University School of Dentistry[DOI]
- Débora Delai, "Florid Cemento-osseous Dysplasia: A Case of Misdiagnosis", Journal of Endodontics, 41(11), pp.1923~1926 (2015), Elsevier BV[DOI]
- 허종기, "Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report", Restorative Dentistry and Endodontics, 38(3), pp.160~166 (2013), 대한치과보존학회[DOI]
- 민창기, "Recurrent symptomatic cemento-osseous dysplasia: A case report", Imaging Science in Dentistry, 48(2), pp.131~137 (2018), 대한영상치의학회
- Don-John Summerlin, "Focal cemento-osseous dysplasia: A clinicopathologic study of 221 cases", Oral Surgery, Oral Medicine, Oral Pathology, 78(5), pp.611~620 (1994), Elsevier BV[DOI]
- Victor Daviet-Noual, "Differentiating early stage florid osseous dysplasia from periapical endodontic lesions: a radiological-based diagnostic algorithm", BMC Oral Health, 17(1) (2017), Springer Science and Business Media LLC[DOI]
- Brenda L. Nelson, "Benign Fibro-Osseous Lesions of the Head and Neck", Head and Neck Pathology, 13(3), pp.466~475 (2019), Springer Science and Business Media LLC[DOI]
- Taha Emre Köse, "Findings of Florid Cemento-Osseous Dysplasia: a Report of Three Cases", Journal of Oral and Maxillofacial Research, 4(4) (2013), Stilus Optimus[DOI]
- J Toledano-Serrabona, "Florid cemento-osseous dysplasia: Report of 2 cases", Journal of Clinical and Experimental Dentistry, pp.0~0 (2018), Medicina Oral, S.L.[DOI]
- Malek M, "Differential diagnosis of a periapical radiolucent lesion. A case report and rrview of the literature", N Y State Dent J, 81, pp.52~56 (2015)
- Roghi M, "Periapical cemento-osseous dysplasia : clinicopathological features", Anticancer Res, 34, pp.2533~2536 (2014)
- Dmitry José de Santana Sarmento, "Severe florid cemento-osseous dysplasia: a case report treated conservatively and literature review", Oral and Maxillofacial Surgery, 17(1), pp.43~46 (2012), Springer Science and Business Media LLC[DOI]
- M TONIOLI, "Treatment of a Maxillary Molar in a Patient Presenting With Florid Cemento-Osseous Dysplasia: A Case Report", Journal of Endodontics, 30(9), pp.665~667 (2004), Ovid Technologies (Wolters Kluwer Health)[DOI]
- R Aiuto, "Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report", Journal of Clinical and Experimental Dentistry, pp.0~0 (2018), Medicina Oral, S.L.[DOI]