Cases reported • Cementoma

1/4. Florid cemento-osseous dysplasia. Report of a case in a white woman with both mandibular and maxillary involvement.

Florid cemento-osseous dysplasia (FLCOD) is a rare pathological entity whose classification is not yet completely defined although its non-neoplastic clinical and histologic behaviour is very clear. FLCOD is a self-limiting lesion scarcely delimited from the surrounding healthy tissue and whose surgical treatment therefore is not elective, unless inflammatory signs are present. A case of a white woman with both mandibular and maxillary involvement is presented; she was referred to us for partial impaction of her lower 3(rd) molars. Standard radiographic and CT images are examined and the patient management is discussed.

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2/4. Treatment of a maxillary molar in a patient presenting with florid cemento-osseous dysplasia: a case report.

A case report of a 49-year-old black woman with florid cemento-osseous dysplasia is presented. Endodontic treatment of a maxillary first molar and a general review of florid cemento-osseous dysplasia are presented. Treatment considerations including diagnosis, difficulty in radiographic interpretation, working length determination, and postoperative concerns are discussed.

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3/4. A case of gigantiform cementoma associated with multiple unerupted teeth.

Both the occurrence of gigantiform cementoma in the jaws or multiple unerupted teeth are very rare conditions. The purpose of this paper is to report on a case of a combination of these two conditions and to review relevant literature. A 47-year-old dwarfish male was referred to our Oral and maxillofacial Surgical Department with the chief complaint of pain and swelling in the right lateral nasal region with the discharge of pus from the right upper premolar area. Clinical and roentgenographic examinations revealed that there were 17 unerupted teeth and some radiopaque and radiolucent shadows on both jaws. This patient was treated with saucerization and extraction of unerupted teeth on the right upper and lower jaws for controlling infected lesions. A surgical specimen was sent for histopathological examination and the report indicated gigantiform cementoma.

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4/4. Periapical cemental dysplasia with multiple lesions.

3 cases of periapical cemental dysplasia with multiple lesions in both maxilla and mandible are reported. All 3 patients are middle-aged females with an average age of 47 years; histological examination of excised tissue revealed that the lesions were composed of fibrous connective tissue and cementum-like hard tissue. The location of the teeth affected were mainly in the premolar-molar regions. A subsequent literature survey of previously described Japanese cases of periapical cemental dysplasia disclosed a similar distribution pattern for the location of PCD lesions. This evidence indicates that the occurrence sites of lesions of periapical cemental dysplasia is predominantly in premolar-molar regions in japan, contrary to the location of PCD in other ethnic groups.

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ranking = 4
keywords = molar
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