IADR Abstract Archives
Association of Cemento-Osseous Dysplasia and Solitary Bone Cyst : Case Series and Literature Review
Objectives: Cement-osseous dysplasia (COD) is a benign and usually asymptomatic fibro-osseous lesion of the jaws. The co-occurrence of solitary bone cysts (SBC) with COD is rare. However, several cases of this association have been reported in the literature since its first description by Melrose et al in 1976.
The aim of this study was to present a case series of SBCs associated COD and to highlight through a literature review this association features.
Methods: Clinical, radiological and surgical investigations were performed for our 3 patients.
We also conducted a literature reasarch using the pubmed database and we collected all published reports from 1988 to 2022.
Results: Patients (2 males and 1 female) ages were 28, 17, and 31 years old. The discovery of the lesions was fortuitous in two patients and on the occasion of a mandibular painful swelling in the third patient.
Radiologically, SBCs (4 in total), three unilocular and one multilocular, were all located in the mandible. As for the COD, it was of the florid type in one patient and of the focal type in the two others.
The diagnosis of COD was based on the radiological appearance and histological analysis, while that of SBCs was established following a surgical exploration.
For the review, 15 papers were returned; Concomitant SBCs and COD are mainly observed in African females around the fifth decade of life. Preferentially affecting the mandible, this association was generally of incidental finding. Radiologically, SBCs can be uni-locular or multi-locular. Regarding the COD, the florid type was the most frequently encountered.
Conclusions: The co-occurrence of SBCs with COD is very important to know, as well as its clinical and radiological characteristics in order to obtain a correct and timely diagnosis, apply a well planned treatment, establish an adequate follow-up and thus ensure a good prognosis.
The aim of this study was to present a case series of SBCs associated COD and to highlight through a literature review this association features.
Methods: Clinical, radiological and surgical investigations were performed for our 3 patients.
We also conducted a literature reasarch using the pubmed database and we collected all published reports from 1988 to 2022.
Results: Patients (2 males and 1 female) ages were 28, 17, and 31 years old. The discovery of the lesions was fortuitous in two patients and on the occasion of a mandibular painful swelling in the third patient.
Radiologically, SBCs (4 in total), three unilocular and one multilocular, were all located in the mandible. As for the COD, it was of the florid type in one patient and of the focal type in the two others.
The diagnosis of COD was based on the radiological appearance and histological analysis, while that of SBCs was established following a surgical exploration.
For the review, 15 papers were returned; Concomitant SBCs and COD are mainly observed in African females around the fifth decade of life. Preferentially affecting the mandible, this association was generally of incidental finding. Radiologically, SBCs can be uni-locular or multi-locular. Regarding the COD, the florid type was the most frequently encountered.
Conclusions: The co-occurrence of SBCs with COD is very important to know, as well as its clinical and radiological characteristics in order to obtain a correct and timely diagnosis, apply a well planned treatment, establish an adequate follow-up and thus ensure a good prognosis.