|
Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws
of middle-aged black women. This condition has also been classified as gigantiform cementoma, chronic sclerosing
osteomyelitis, sclerosing osteitis, multiple estenosis and sclerotic cemental masses. It usually exhibits as multiple
radiopaque cementum-like masses distributed throughout the jaws. Radiographically, FCOD appears as dense, lobulated
masses, often symmetrically located in various regions of the jaws. Computed tomography, because of its
ability to give axial, sagittal, and frontal views, is useful in the evaluation of these lesions.
This article reports the case of a 45-year-old white man who was diagnosed with FCOD on the basis of clinical,
radiographic, biochemical and histological findings.
It is of major importance to realize that all dentists have a unique opportunity as well as ethical obligation to assist
in the struggle against wrong dental treatments that might save patients dental health. This case report illustrates
the point that periapical radiolucencies may represent benign fibro-osseous lesions that may be overlooked or result
in unnecessary endodontic treatment.
|