title: Severe florid cemento-osseous dysplasia: a case report treated conservatively and literature review.
abstract: BACKGROUND
  Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws of middle-aged black women. Radiographically, FCOD appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. FCOD is usually asymptomatic. In severe cases, focal expansion may occur due to infection. Management of the symptomatic patient is more difficult due to the avascular nature of the lesion which contributes to susceptibility severe infection, bone sequestration, and osteomyelitis when surgery is performed.
  
  
  METHODS
  This paper presents a rare case of severe FCOD; the black woman patient was diagnosed based on clinical and radiographic findings and treated conservatively. The examination of panoramic radiographs revealed a multiple sclerotic masses with radiolucent borders, found in the mandible and maxilla which were symmetrical at presentation. The patient continuous with the follow-up.
  
  
  CONCLUSIONS
  This report confirms that a diagnosis can be made with accurate clinical and radiographic assessment. The correct selection of treatment for FCOD depends on this information.
authors.affiliation: Post-Graduate Program, Oral Pathology, Federal University of Rio Grande do Norte, Natal, RN, Brazil. dmitry_sarmento@hotmail.com
authors.forename: Dmitry José de Santana
authors.initials: DJ
authors.lastname: Sarmento
authors.forename: Bárbara Vanessa de Brito
authors.initials: BV
authors.lastname: Monteiro
authors.forename: Ana Miryam Costa
authors.initials: AM
authors.lastname: de Medeiros
authors.forename: Ericka Janine Dantas
authors.initials: EJ
authors.lastname: da Silveira
mesh_terms: D001424:Bacterial Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D002485:Cementoma / Q000000981:diagnostic imaging* / Q000628:therapy*; D003739:Dental Cementum; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging* / Q000628:therapy*; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging* / Q000628:therapy*; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging* / Q000628:therapy*; D009910:Oral Hygiene; D011862:Radiography, Panoramic