Florid cemento-osseous dysplasia

Alternate names

florid osseous dysplasia; focal cemento-osseous dysplasia

Definition

Florid cemento-osseous dysplasia (FCOD) is a condition that occurs in the jaw bone, especially close to where the teeth are formed.

Epidemiology

Florid cemento-osseous dysplasia (FCOD) usually African-American women in their mid-40s. Asian women are more likely to develop this condition, but both men and women of other ethnicities have been reported with FCOD. While the exact prevalence is unknown, the literature reports that about 5.5% of black women may have FCOD.

Cause

The cause of florid cemento-osseous dysplasia (FCOD) is not known.

Inheritance

Florid cemento-osseous dysplasia (FCOD) doesn't typically run in families. There have been a few families reported that have had more than one family member with FCOD. In these families, the condition occurs at younger ages and the lesions grow faster than in FCOD seen in people with no family history of the condition.

Signs and symptoms

• Usually florid cemento-osseous dysplasia causes no symptoms.
• It is often found by accident while getting dental x-rays for some other purpose. Occasionally however, the lesions get infected and may expand causing discomfort, pain, and/or mild disfigurement.

Diagnosis

• Diagnosis of florid cemento-osseous dysplasia (FCOD) relies on the x-ray findings of the lesions as well as the clinical signs and symptoms.
• FCOD can look like other, more serious conditions, and it's important to make sure that FCOD is the correct diagnosis.

Other conditions that can look like FCOD include: Paget's disease

• Chronic diffuse sclerosing osteomyelitis
• Fibrous dysplasia
• Osterosarcoma
• Periapical cemental dysplasia
• Infections

Treatment

• In most people, florid cemento-osseous dysplasia (FCOD) does not require treatment.
• People with this condition should be followed with dental x-rays every 2-3 years.
• In addition, because infections are difficult to treat in people with FCOD, sometimes people with FCOD take antibiotics to help prevent infections.
• If someone with FCOD does get an infection of the jaw, treatment may include surgery to clean out the infection.

Prognosis

People with florid cemento-osseous dysplasia (FCOD) do not usually have any symptoms from their condition. FCOD makes people more likely to get infections in the teeth and jaw. It is difficult to treat those infections with antibiotics and surgery may be necessary to remove the infection. The long-term outlook for people with this condition is generally good.

NIH genetic and rare disease info

• NIH info on Florid cemento-osseous dysplasia

Florid cemento-osseous dysplasia is a rare disease.

Florid cemento-osseous dysplasia Resources
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