개화성 백악질-골 이형성증: 증례보고

• Published in: Journal of the Korean Association of Oral and Maxillofacial Surgeons Vol. 37; no. 6; pp. 515 - 519
• Main Authors: 김남균(Nam-Kyun Kim), 김현실(Hyun-Sil Kim), 김 진(Jin Kim), 남 웅(Woong Nam), 차인호(In-Ho Cha), 김형준(Hyung-Jun Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한구강악안면외과학회 30.12.2011; Korean Association Of Oral And Maxillofacial Surgeons
• Subjects: 치의학; Cemento-osseous dysplasia; Focal cemento-osseoous dysplasia; Periapical cemental dysplasia; Florid cemento-osseous dysplasia
• ISSN: 2234-7550; 2234-5930

Cemento-osseous dysplasia occurs in the tooth bearing areas of the jaws and is probably the most common fibro-osseous manifestation. They are usually classified into three main groups according to their extent and radiographic appearance: periapical (surrounds the periapical region of teeth and are bilateral), focal (single lesion) and florid (scleroticsymmetrical masses) cemental-osseous dysplasias. Florid cemento-osseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to the jaws. Patients do not have laboratory or radiologic evidence of bone disease in other parts of the skeleton. For asymptomatic patients, the best management consists of regular recall examinations with prophylaxis and the reinforcement of good home hygiene care to control periodontal disease and prevent tooth loss. The treatment of symptomatic patients is more difficult. At this stage, there is an inflammatory component caused by the disease and the process is basically a chronic osteomyelitis involving dysplastic bone and cementum. Antibiotics might be suggested, but are not always effective. Two cases of florid cemento-osseous dysplasia diagnosed in two Korean females are reported with a review of the relevant literature. Cemento-osseous dysplasia occurs in the tooth bearing areas of the jaws and is probably the most common fibro-osseous manifestation. They are usually classified into three main groups according to their extent and radiographic appearance: periapical (surrounds the periapical region of teeth and are bilateral), focal (single lesion) and florid (scleroticsymmetrical masses) cemental-osseous dysplasias. Florid cemento-osseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to the jaws. Patients do not have laboratory or radiologic evidence of bone disease in other parts of the skeleton. For asymptomatic patients, the best management consists of regular recall examinations with prophylaxis and the reinforcement of good home hygiene care to control periodontal disease and prevent tooth loss. The treatment of symptomatic patients is more difficult. KCI Citation Count: 0