Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases
Cemento-osseous dysplasia (COD) is a form of benign fibro-osseous lesion of the jaw. We sought to evaluate the demographic and clinical presentations of COD by collecting and analyzing the demographic, clinical, radiographic, and pathologic data of COD diagnosed in our institution from 2017 to 2022....
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/11/5/138 |
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| author | Katherine Decolibus Shokoufeh Shahrabi-Farahani Anmol Brar Shane D. Rasner Sarah E. Aguirre Adepitan A. Owosho |
| author_facet | Katherine Decolibus Shokoufeh Shahrabi-Farahani Anmol Brar Shane D. Rasner Sarah E. Aguirre Adepitan A. Owosho |
| author_sort | Katherine Decolibus |
| collection | DOAJ |
| description | Cemento-osseous dysplasia (COD) is a form of benign fibro-osseous lesion of the jaw. We sought to evaluate the demographic and clinical presentations of COD by collecting and analyzing the demographic, clinical, radiographic, and pathologic data of COD diagnosed in our institution from 2017 to 2022. Over this six-year period, the records of 191 patients with COD were reviewed. Most patients were African American and female. Eighty-five patients were diagnosed with florid COD (FLCOD), 63 with periapical COD (PCOD), and 43 with focal COD (FCOD). Twenty-eight (14.7%) patients presented symptoms. The most common symptom was pain. All the symptomatic cases of COD that were histopathologically diagnosed were osteomyelitis in the setting of COD. Symptomatic patients were older (mean of 61.3 years) than the asymptomatic patients (mean of 51.2 years). Due to the radiographic appearance of a radiolucency or a mixture of radiolucency and radiopacity, forty-five asymptomatic patients were biopsied. Most of the asymptomatic patients biopsied were patients with FCOD (<i>n</i> = 19, 54.3%), followed by PCOD (<i>n</i> = 16, 25.8%), and FLCOD (<i>n</i> = 10, 15.2%). FLCOD is the most common form of COD to present with symptoms. Due to the significant overlap in clinical and radiographic presentation with other entities, FCOD and PCOD remain a diagnostic challenge to dentists. In conclusion, we analyzed the demographic and clinical features of 191 new cases of COD, which reaffirms that cemento-osseous dysplasia is a condition that primarily affects middle-aged females of African descent and occurs more frequently in the mandible. |
| first_indexed | 2024-03-11T03:48:37Z |
| format | Article |
| id | doaj.art-5989332268ab4bbba49637abc83f75b8 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-11T03:48:37Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-5989332268ab4bbba49637abc83f75b82023-11-18T01:03:05ZengMDPI AGDentistry Journal2304-67672023-05-0111513810.3390/dj11050138Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New CasesKatherine Decolibus0Shokoufeh Shahrabi-Farahani1Anmol Brar2Shane D. Rasner3Sarah E. Aguirre4Adepitan A. Owosho5Department of Diagnostic Sciences, College of Dentistry, The University of Tennessee Health Sciences Center, Memphis, TN 38163, USADepartment of Diagnostic Sciences, College of Dentistry, The University of Tennessee Health Sciences Center, Memphis, TN 38163, USADepartment of Diagnostic Sciences, College of Dentistry, The University of Tennessee Health Sciences Center, Memphis, TN 38163, USADepartment of Diagnostic Sciences, College of Dentistry, The University of Tennessee Health Sciences Center, Memphis, TN 38163, USADepartment of Diagnostic Sciences, College of Dentistry, The University of Tennessee Health Sciences Center, Memphis, TN 38163, USADepartment of Diagnostic Sciences, College of Dentistry, The University of Tennessee Health Sciences Center, Memphis, TN 38163, USACemento-osseous dysplasia (COD) is a form of benign fibro-osseous lesion of the jaw. We sought to evaluate the demographic and clinical presentations of COD by collecting and analyzing the demographic, clinical, radiographic, and pathologic data of COD diagnosed in our institution from 2017 to 2022. Over this six-year period, the records of 191 patients with COD were reviewed. Most patients were African American and female. Eighty-five patients were diagnosed with florid COD (FLCOD), 63 with periapical COD (PCOD), and 43 with focal COD (FCOD). Twenty-eight (14.7%) patients presented symptoms. The most common symptom was pain. All the symptomatic cases of COD that were histopathologically diagnosed were osteomyelitis in the setting of COD. Symptomatic patients were older (mean of 61.3 years) than the asymptomatic patients (mean of 51.2 years). Due to the radiographic appearance of a radiolucency or a mixture of radiolucency and radiopacity, forty-five asymptomatic patients were biopsied. Most of the asymptomatic patients biopsied were patients with FCOD (<i>n</i> = 19, 54.3%), followed by PCOD (<i>n</i> = 16, 25.8%), and FLCOD (<i>n</i> = 10, 15.2%). FLCOD is the most common form of COD to present with symptoms. Due to the significant overlap in clinical and radiographic presentation with other entities, FCOD and PCOD remain a diagnostic challenge to dentists. In conclusion, we analyzed the demographic and clinical features of 191 new cases of COD, which reaffirms that cemento-osseous dysplasia is a condition that primarily affects middle-aged females of African descent and occurs more frequently in the mandible.https://www.mdpi.com/2304-6767/11/5/138florid cemento-osseous dysplasiaperiapical cemento-osseous dysplasiafocal cemento-osseous dysplasiabenign fibro-osseous lesion |
| spellingShingle | Katherine Decolibus Shokoufeh Shahrabi-Farahani Anmol Brar Shane D. Rasner Sarah E. Aguirre Adepitan A. Owosho Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases Dentistry Journal florid cemento-osseous dysplasia periapical cemento-osseous dysplasia focal cemento-osseous dysplasia benign fibro-osseous lesion |
| title | Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases |
| title_full | Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases |
| title_fullStr | Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases |
| title_full_unstemmed | Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases |
| title_short | Cemento-Osseous Dysplasia of the Jaw: Demographic and Clinical Analysis of 191 New Cases |
| title_sort | cemento osseous dysplasia of the jaw demographic and clinical analysis of 191 new cases |
| topic | florid cemento-osseous dysplasia periapical cemento-osseous dysplasia focal cemento-osseous dysplasia benign fibro-osseous lesion |
| url | https://www.mdpi.com/2304-6767/11/5/138 |
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