Seven-year Follow-up of A Focal Cemento-Osseous Dysplasia Associated with Mandibular First Molar: A Case Report

Year 2023, Volume: 7 Issue: 2, 99 - 104, 31.08.2023

Melisa Öçbe , Şebnem Erçalık Yalçınkaya

https://doi.org/10.29228/erd.52

Abstract

Cemento-osseous dysplasia (COD) is a benign fibro-osseous lesion with replacement of normal bone tissue by fibrous connective tissue. This case report presents an asymptomatic mixed radiolucent-radiopaque lesion in the posterior mandible of a 37-year-old female patient. Clinical and radiographic evaluation led to the diagnosis of focal cemento-ossifying dysplasia (FCOD) and regular radiographic follow-up was recommended as focal COD may progress to florid COD. The lesion was followed up for seven years with three examinations. During this time, the lesion remained asymptomatic and the associated tooth remained vital. An increase in the size of the internal hyperdense content was observed during the follow-up visits. The maturation process was well observed. A minimally increased expansion was also noted.

Keywords

cementoosseous dysplasia, fibroosseous dysplasia, cone beam computed tomography, fibroosseöz displazi, konik ışınlı bilgisayarlı tomografi, sementoosseöz displazi

Mandibular Birinci Molar ile İlişkili Fokal Semento-osseöz Displazinin 7 Yıllık Takibi: Bir Olgu Sunumu

Abstract

Semento-osseöz displazi (SOD), normal kemik dokusunun fibröz bağ doku ile yer değiştirdiği, iyi huylu bir fibro-osseöz lezyondur. Bu olgu raporunda 37 yaşındaki kadın hastanın posterior mandibulasında asemptomatik, mikst radyolüsent-radyoopak görünümlü lezyon sunulmuştur. Klinik ve radyografik muayene sonucunda fokal semento-osseöz displazi (FSOD) olduğu düşünülen lezyonun düzenli radyolojik takibi önerilmiştir. Lezyon yedi sene boyunca takip edilmiş ve radyografik olarak değerlendirilmiştir. Takip süreci boyunca asemptomatik olan lezyon ile ilişkili dişin de vital olduğu gözlenmiştir. Ayrıca, lezyonun içeriğindeki hiperdens alanın boyutunun arttığı ve ekspansiyonun minimal olarak arttığı izlenmiştir.

Keywords

fibroosseöz displazi, konik ışınlı bilgisayarlı tomografi, sementoosseöz displazi

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