Diagnostic Procedures and Prosthetic Management of Cemento-Osseous Dysplasia: A Case Report


Cemento-osseous dysplasia
Prosthetic bearing surfaces
Prosthetic rehabilitation


How to Cite

ELQARFAOUI A, AMINOU L, TALEB B, MERZOUK N, REGRAGUI A. Diagnostic Procedures and Prosthetic Management of Cemento-Osseous Dysplasia: A Case Report. Integr J Med Sci [Internet]. 2022 Mar. 4 [cited 2022 Aug. 12];9. Available from: https://mbmj.org/index.php/ijms/article/view/635


Cement-osseous dysplasia is an uncommon benign fibro-osseous lesion of the maxillae in which cementum tissue replaces the normal architecture of the bone. It is usually asymptomatic, and its discovery is incidental at a routine radiological examination. Treatment is necessary if an infection develops due to exposure to the lesion in the oral cavity. In these severe cases, pain, cortical blowing, and facial deformity may be present. Thus, patients with cemento-osseous dysplasia have prosthetic bearing surfaces unfavorable for prosthetic rehabilitation. The management of cemento-osseous dysplasia requires a careful clinical examination to make a correct diagnosis and develop the appropriate treatment plan. The practitioner must inform the patient of the limitations of prosthetic rehabilitation. The objective of this article is to review, through a case report, the clinical, histological, and radiological characteristics and possible complications of this lesion and to highlight its impact on the prosthetic bearing surfaces and the problems inherent in prosthetic rehabilitation.



Alsufyani NA, Lam EW. Osseous (Cemento-osseous) Dysplasia of the Jaws: Clinical and Radiographic Analysis. J Can Dent Assoc. 2011;77:b70. [Accessed 2022 Mar 02]. Available from: https://jcda.ca/sites/default/files/b70/b70.pdf

Dagistan S, Goregen M, Çakur B, Miloglu O. Cemento-osseous dysplasias. Rev Clín Pesq Odontol. 2007 Jan/Apr; 3(1):43-49. https://doi.org/10.7213/aor.v3i1.23047

Moussaoui E, Oualha L, Gnaba I, Ayachi S, Badreddine Sriha B, Selmi J, et al. Florid osseous dysplasias: from diagnosis to treatment. Three cases report. Med Buccale Chir Buccale. 2013; 19: 119-126. https://doi.org/10.1051/mbcb/2013059

Yildirim E, Bağlar S, Ciftci ME, Ozcan E. Florid cemento-osseous dysplasia: a rare case evaluated by cone beam CT. J Oral Maxillofac Pathol. 2016 May-Aug;20(2):329. https://doi.org/10.4103/0973-029x.185930

Benazzou S, Boulaadas M, ElayoubiM A, Nazih N, Esskalli L, Kzadri M. Florid cemento-osseous dysplasia of the maxillae. Science Direct.

Dghoughi S, Elwady W, Taleb B. Florid cemento-osseous dysplasia. Med buccale chi buccale. 2015; 21:101-104. [Accessed 2022 Mar 02]. Available from: https://www.sop.asso.fr/admin/documents/ros/ROS0000280/Rev_Odont_Stomat_2010_39_p211-221.pdf

Massereau E, Ordioni U, Guivarc'h M, Royer G, Catherine J-H. Clinical case and literature review, Mandibular florid bone dysplasia: A case of incidental finding and literature review. Rev Odont Stomat. 2010; 39:211-221.

Toledano-Serrabona J, Núñez-Urrutia S, Vegas-Bustamante E, Sánchez-Torres A, Gay-Escoda C. Florid cemento-osseous dysplasia: Report of 2 cases. J Clin Exp Dent. 2018; 10(11):e1145-8. https://doi.org/10.4317/jced.55288

Kawai T, Hiranuma H, Kishino M, Jikko A, Sakuda M. Cementoosseous dysplasia of the jaws in 54 Japanese patients. A radiographic study. Oral Surg Oral Med Oral Pathol Oral Radio Endod. 1999; 87(1):107-14. https://doi.org/10.1016/s1079-2104(99)70303-3

MacDonald-Jankowski DS. Florid cemento-osseous dysplasia: a systematic review. Dentomaxillofac Radiol 2003; 32(3):141-9. https://doi.org/10.1259/dmfr/32988764

Shelly A, Aadithya BU, Sunita G, Nitika B, Nisha J. Florid cemento-osseous dysplasia - a case report. Malaysian Dent J. 2014; 36(1): 10-13.

Ducommun J, Bornstein MM, Suter VGA. Bone dysplasia: presentation of an incidental radiological finding. Swiss Dental J. 2018 Feb 12;128:142-143. [Accessed 2022 Mar 02]. Available from: https://www.swissdentaljournal.org/fileadmin/upload_sso/2_Zahnaerzte/2_SDJ/SDJ_2018/SDJ_2_2018/SDJ_2018-02_thema-des-monats_D.pdf

Kato CNAO, Sampaio JDA, Amaral TMP, Abreu LG, Brasileiro CB, Mes quita RA. Oral management of a patient with cemento-osseous dysplasia: a case report. Rev Gaúch Odontol. 2019; 67. https://doi.org/10.1590/1981-86372019000123574

Bencharit S, Schardt-Sacco D, Zuniga JR, Minsley GE. Surgical and prosthodontic rehabilitation for a patient with aggressive florid cemento-osseous dysplasia: A clinical report. J Prost Dent. 2003 Sep;90(3):220-4. https://doi.org/10.1016/s0022-3913(03)00431-1

Shadid R, Kujan O. Success of dental implant osseointegration in a florid cemento-osseous dysplasia: A case report with 8-year follow-up. Clin Pract. 2020 Sep 4;10(3):1281. https://doi.org/10.4081/cp.2020.1281

Oliveira MT, Cardoso SV, Silva CJ, Barbosa DZ, Loyola AM. Failure of dental implants in cemento-osseous dysplasia: a critical analysis of a case. Rev Odontol UNESP. 2014 May-June; 43(3): 223-227 2014. http://dx.doi.org/10.1590/rou.2014.035

Shin HS, Kim BC, Lim HJ, Jo SY, Lee J. Chronic osteomyelitis induced by the placement of dental implants on cemento-osseous dysplasia. Br J Oral Maxillofac Surg. 2019 Apr;57(3):268-270. https://doi.org/10.1016/j.bjoms.2019.01.014

Gerlach RC, Dixon DR, Goksel T, Castle JT, Henry WA. Case presentation of florid cemento-osseous dysplasia with concomitant cemento-ossifying fibroma discovered during implant explantation. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Mar;115(3):e44-52. https://doi.org/10.1016/j.oooo.2012.05.020

Regragui A, Sefrioui A, Berrada S, Merzouk N. Hypertrophie osseuse buccale chez l’édenté complet : une fatalité à contourner ! Prothèse amovible. 2016. http://dx.doi.org/10.1051/aos/2016022

Fajri.L, Berrada, S, Abdedine.A. The contribution of clinical exploration in the choice and orientation of prosthetic therapy in the completely edentulous patient. Rev Odont Stomat. 2008; 37:91-107. [Accessed 2022 Mar 02]. Available from: https://www.sop.asso.fr/admin/documents/ros/ROS0000216/2062.pdf

Sikkou K, Abdelkoui A, Merzouk N, Berrada S. Preventing bone resorption for better integration of complete removable prosthetic restorations. Actual Odonto Stomatol. 2016; 280:2. https://doi.org/10.1051/aos/2016072

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Copyright (c) 2021 AMINA ELQARFAOUI, Loubna Aminou, Bouchra Taleb, Nadia MERZOUK, Anissa REGRAGUI


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