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Cemento Osseous Dysplasia

Benign fibrous lesion of jawbone

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Cemento Osseous Dysplasia?

Cemento osseous dysplasia is a non neoplastic process in which normal jaw bone is replaced by fibrous tissue cementum like and bone like material. The condition has three subtypes including periapical focal and florid forms. Periapical form most commonly involves the apices of mandibular anterior teeth. The condition is more frequent in middle aged women and individuals with darker skin pigmentation reflecting genetic and hormonal influences on its development.

Lesions evolve through three stages including early radiolucent stage suggesting periapical pathology mixed radiolucent radiopaque intermediate stage and mature predominantly radiopaque stage. Adjacent teeth maintain vitality differentiating cemento osseous dysplasia from periapical inflammatory lesions. Imaging characteristics on panoramic and periapical radiographs allow diagnosis without biopsy in typical cases.

Management is conservative since lesions are asymptomatic and benign. Vitality testing of adjacent teeth confirms diagnosis distinguishing the condition from periapical pathology. Endodontic or surgical intervention is contraindicated as the lesions are avascular and prone to secondary infection if exposed. Periodic radiographic monitoring tracks lesion stability. Florid form may rarely become symptomatic with secondary infection requiring antibiotic therapy and possible surgical curettage. Patient education prevents unnecessary procedures and reassures regarding benign nature.

Symptoms

Asymptomatic in most cases
Incidental radiographic finding
Vital adjacent teeth maintained
Rare secondary infection in florid form
Bony expansion in advanced cases

Risk Factors

Middle aged female sex
African or dark skinned ancestry
Family history of fibrous dysplasia
Hormonal influences
Genetic predisposition

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When asymptomatic radiographic finding is detected
  • When vitality testing of adjacent teeth is needed
  • When secondary infection symptoms develop
  • When monitoring radiographs are due

Treatment Methods

01
No active treatment for asymptomatic lesions
02
Vitality testing of adjacent teeth
03
Periodic radiographic monitoring
04
Avoidance of endodontic or surgical intervention
05
Antibiotic therapy for secondary infection
06
Surgical curettage for symptomatic florid form

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.