Clinical, Radiographic and Biochemical Findings of a Case of Florid Cemento-Osseous Dysplasia: A Disorder of its Own Type in Bone Disorders

Cemento-osseous dysplasias (CODs) are a group of disorders originating from periodontal tissues. They are classified, depending on their extent and location, into three groups: periapical, florid and focal. Florid cemento-osseous dysplasias (FCODs) are one of the subgroups of cemento-osseous dysplasias (CODs) which were first described by Melrose, Abrams and Mills in 1976 and predominantly affects the jaws in middle-aged black females. They usually manifest as multiple radiopaque cementum-like masses distributed throughout the jaws or involve few quadrants. Patients do not have specific laboratory or radiological evidence of bone disease in other parts of the skeleton. The exact etiology of this disorder however is yet to be known. Asymptomatic patients generally do not require treatment. Patients with this disease exhibit poor healing and osteomyelitis may develop even after minor surgical procedures including extraction of teeth in the affected areas. Surgical intervention is required for cases with gross disfigurement. Complete resection of the lesion is considered to be impractical because the lesion usually occupies larger portion of the jaws. Herein, we are presenting a case of florid cemento-osseous dysplasia in a 45 year old female patient who reported to the Outpatient Department with some other odontogenic complaint while the lesion was detected when radiographs were taken for the same.