Florid Osseous Dysplasia (Florid Cemento-osseous Dysplasia)
Etiology • Unknown • Strong predilection for middle-aged to elderly black females
Clinical Presentation • Bilateral and symmetric mandible involvement • Body and posterior segment of mandible chiefly involved • Usually asymptomatic
Radiographic Findings • Early stage is mostly a radiolucent process. • Later stages have multiple, mixed, radiolucent to radiopaque
nodularities. • Purely lucent areas representing simple bone cysts may be seen
in conjunction with opacities.
Etiology • Unknown • Strong predilection for middle-aged to elderly black females
Clinical Presentation • Bilateral and symmetric mandible involvement • Body and posterior segment of mandible chiefly involved • Usually asymptomatic
Radiographic Findings • Early stage is mostly a radiolucent process. • Later stages have multiple, mixed, radiolucent to radiopaque
nodularities. • Purely lucent areas representing simple bone cysts may be seen
in conjunction with opacities.
Diagnosis • Radiographic appearance • Involved teeth are vital.
Differential Diagnosis • Chronic, diffusing, sclerosing osteomyelitis • Fibrous dysplasia • Osteosarcoma • Paget’s disease
Treatment • In uncomplicated, asymptomatic cases, observation only • If symptomatic, surgical removal of calcified masses with con-
comitant antibiotic coverage • Bone saucerization and open packing may hasten progress.
Prognosis • Good • When infected, osteomyelitis-related morbidity occurs.