Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report

This case report demonstrates an unnecessary endodontic treatment of teeth with florid cemento-osseous dysplasia (FCOD) due to a misdiagnosis as periapical pathosis and emphasizes the importance of correct diagnosis to avoid unnecessary treatment. A 30-year-old woman was referred to our institution...

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Main Authors: Jong-Ki Huh, Su-Jung Shin
Format: Article
Language:English
Published: Korean Academy of Conservative Dentistry 2013-08-01
Series:Restorative Dentistry & Endodontics
Online Access:https://doi.org/10.5395/rde.2013.38.3.160
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author Jong-Ki Huh
Su-Jung Shin
author_facet Jong-Ki Huh
Su-Jung Shin
author_sort Jong-Ki Huh
collection DOAJ
description This case report demonstrates an unnecessary endodontic treatment of teeth with florid cemento-osseous dysplasia (FCOD) due to a misdiagnosis as periapical pathosis and emphasizes the importance of correct diagnosis to avoid unnecessary treatment. A 30-year-old woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. The periapical lesions associated with these teeth had failed to resolve after root canal treatment over a 3-year period. Radiographic examinations revealed multiple lesions on the right canine, the second premolar, and both first molars as well as the anterior region of the mandible. Based on clinical, radiographic and histological evaluations, the patient condition was diagnosed as FCOD. The patient has been monitored for 2 years. To avoid unnecessary invasive treatment, accurate diagnosis is essential before treatment is carried out in managing FCOD.
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spelling doaj.art-beac8ee433b74733a22325ebf3538e512022-12-22T00:15:51ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662013-08-0138316016610.5395/rde.2013.38.3.160Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case reportJong-Ki Huh0Su-Jung Shin1Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, KoreaDepartment of Conservative Dentistry, Yonsei University College of Dentistry, Seoul, Korea.This case report demonstrates an unnecessary endodontic treatment of teeth with florid cemento-osseous dysplasia (FCOD) due to a misdiagnosis as periapical pathosis and emphasizes the importance of correct diagnosis to avoid unnecessary treatment. A 30-year-old woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. The periapical lesions associated with these teeth had failed to resolve after root canal treatment over a 3-year period. Radiographic examinations revealed multiple lesions on the right canine, the second premolar, and both first molars as well as the anterior region of the mandible. Based on clinical, radiographic and histological evaluations, the patient condition was diagnosed as FCOD. The patient has been monitored for 2 years. To avoid unnecessary invasive treatment, accurate diagnosis is essential before treatment is carried out in managing FCOD.https://doi.org/10.5395/rde.2013.38.3.160
spellingShingle Jong-Ki Huh
Su-Jung Shin
Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report
Restorative Dentistry & Endodontics
title Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report
title_full Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report
title_fullStr Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report
title_full_unstemmed Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report
title_short Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report
title_sort misdiagnosis of florid cemento osseous dysplasia leading to unnecessary root canal treatment a case report
url https://doi.org/10.5395/rde.2013.38.3.160
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