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Florid cemento‐osseous dysplasia: analysis of 47 Sudanese cases and review of the literature
Author(s) -
Elbeshir E.I.,
Mohammed Alhadad M.A.
Publication year - 2017
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12256
Subject(s) - medicine , asymptomatic , osteomyelitis , maxilla , dentistry , mandible (arthropod mouthpart) , dysplasia , radiography , surgery , pathology , botany , biology , genus
Aim We studied the prevalent cases of florid cemento‐osseous dysplasia ( FCOD ) in Sudanese patients reporting to Khartoum Dental Hospital, Sudan. Material and methods Case records of FCOD and osteomyelitis over a 3 years period were retrieved, reassessed for confirmation of diagnosis and evaluation. Results There were a total of 47 cases of FCOD and 35 (74.5%) of them fulfilled the criteria for initial diagnosis of FCOD . Out of 56 cases diagnosed with osteomyelitis, 12 (25.5%) cases fulfilled the criteria of FCOD , making a total of 47 cases of FCOD . Forty‐five patients were females and most of them were from western and northern areas of the Sudan. Thirty‐seven (78.7%) patients were symptomatic with pain, swellings, discharging sinuses and non‐healing sockets being the most frequent complaints, and extraction was the most common cause of infection and all symptomatic cases were exclusively in the mandible. In asymptomatic areas, sound teeth were vital and alveolar bone swellings were encountered in 23% of the cases. The mandible was affected in all cases and the maxilla in two‐thirds of the cases 64%. Diagnosis was made on the bases of clinical and radiographic features, and 12 cases were examined histologically and the diagnosis was confirmed. Asymptomatic cases received restorative and preventive management. Symptomatic cases were treated with antibiotics alone or in combination with surgery. Conclusions Until now, this is the largest series to be reported on prevalent cases of florid cemento‐osseous dysplasia in Sudan. Dentists must look for these lesions and adopt a preventive role to minimize complications that may arise thereof. The female predilection and distribution between two major ethnic groups warrant further investigations.