Rachel, M Hoy
| Rachel, M Hoy |
Rachel M Hoy
Mel Mupparapu
Division of Radiology, Oral Medicine, University of Pennsylvania, School of Dental Medicine
Introduction
To understand the pathophysiology and radiographic features of the expansile nature of the florid expansile cemento-osseous dysplasia (FECOD).
Methods
This case displays evidence of florid expansile cemento-osseous dysplasia (FECOD) of both the maxilla and mandible. A 64 year old patient presented to the orthodontic department due to a renewed interest in orthodontic treatment after her teeth began to shift. The patient was previously unaware of the mixed density lesions and was informed about the area after obtaining a panoramic radiograph and subsequent cone beam computed tomography (CBCT). Utilizing these radiographs in combination with a clinical exam, a diagnosis of florid cemento-osseous dysplasia was established based on a common presentation of these lesions. The comprehensive diagnosis of florid expansile cemento-osseous dysplasia was postulated due to the generalized expansile nature of the lesions in both the maxilla and mandible. Orthodontic treatment for this patient was not recommended, and the patient was informed about the followup for the expansile jaws. A biopsy was not recommended.
Results
The expansile nature of florid cemento-osseous dysplasia (FCOD) lesions, although known, is not widely described in the literature, hence, this case exemplifies the expansile possibility of the disease. Bulut et al. completed a previous study confirming this expansion and documents this condition in a younger female patient.1 When comparing the previously documented case with the current case, we noted that this condition is not age specific, and instead can occur through a variable age range. The expansile nature of FCOD can be termed EOD.2 Typical management of FECOD includes observation and monitoring for complications. The only contraindication would be placement of implants within these lesions as osseointegration would be compromised leading to implant failure.
Conclusion
Expansion of one or both jaw bones can occur concurrently with a radiographic diagnosis of FCOD deeming the condition FECOD.