Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia

ABSTRACT: Florid osseous dysplasia (FOD) is an extensive form of osseous dysplasia where normal trabecular bone is substituted by fibrous connective tissue and amorphous mineralized tissue. Usually, the lesions are mainly asymptomatic and the patients should be followed with clinical and imaging exa...

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Autores principales:	Cral,Wilson Gustavo, Tucunduva,Rosana Adami, Damante,Jose Humberto, Yaedú,Renato Yassutaka Faria, Soares,Mariana Quirino Silveira, Capelozza,Ana Lúcia Alvares, Oliveira,Denise Tostes, Rubira,Cassia Maria Fischer
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2019
Materias:	bone diseases osteomyelitis diagnostic imaging
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2019000300275
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spelling	oai:scielo:S0718-381X20190003002752019-08-09Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous DysplasiaCral,Wilson GustavoTucunduva,Rosana AdamiDamante,Jose HumbertoYaedú,Renato Yassutaka FariaSoares,Mariana Quirino SilveiraCapelozza,Ana Lúcia AlvaresOliveira,Denise TostesRubira,Cassia Maria Fischer bone diseases osteomyelitis diagnostic imaging ABSTRACT: Florid osseous dysplasia (FOD) is an extensive form of osseous dysplasia where normal trabecular bone is substituted by fibrous connective tissue and amorphous mineralized tissue. Usually, the lesions are mainly asymptomatic and the patients should be followed with clinical and imaging examination, requiring no intervention. Nevertheless, due to the poor vascularization of the lesion and local trauma, secondary infections and osteomyelitis may occur. Patients may present with pain, mucosal ulceration, and lesion exposure in the oral cavity, fistula and swelling. In such cases, correct diagnosis and management of the lesion is decisive to reestablish patient’s health and quality of life. The aim of this article is to present a case of complicating secondary chronic osteomyelitis treated successfully with conservative intervention. A 68-year-old black female patient reported a “swelling of the gums” that was present for eleven years, with episodes of periodic pain and swelling. On physical examination, a papule with suppuration in the alveolar mucosa in the right side of the mandible was observed. Panoramic radiography and CBCT showed a mixed lesion surrounded by sclerotic bone. The patient was diagnosed with chronic osteomyelitis in association with FOD and treated with antibiotic therapy together with surgical curettage. The incidence, etiophatology, differential diagnosis, treatment and prevention of secondary osteomyelitis associated with FOD are discussed in the light of literature. This information might assist the dentists while choosing the best treatment options for similar cases.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.13 n.3 20192019-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2019000300275en10.4067/S0718-381X2019000300275
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	bone diseases osteomyelitis diagnostic imaging
spellingShingle	bone diseases osteomyelitis diagnostic imaging Cral,Wilson Gustavo Tucunduva,Rosana Adami Damante,Jose Humberto Yaedú,Renato Yassutaka Faria Soares,Mariana Quirino Silveira Capelozza,Ana Lúcia Alvares Oliveira,Denise Tostes Rubira,Cassia Maria Fischer Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
description	ABSTRACT: Florid osseous dysplasia (FOD) is an extensive form of osseous dysplasia where normal trabecular bone is substituted by fibrous connective tissue and amorphous mineralized tissue. Usually, the lesions are mainly asymptomatic and the patients should be followed with clinical and imaging examination, requiring no intervention. Nevertheless, due to the poor vascularization of the lesion and local trauma, secondary infections and osteomyelitis may occur. Patients may present with pain, mucosal ulceration, and lesion exposure in the oral cavity, fistula and swelling. In such cases, correct diagnosis and management of the lesion is decisive to reestablish patient’s health and quality of life. The aim of this article is to present a case of complicating secondary chronic osteomyelitis treated successfully with conservative intervention. A 68-year-old black female patient reported a “swelling of the gums” that was present for eleven years, with episodes of periodic pain and swelling. On physical examination, a papule with suppuration in the alveolar mucosa in the right side of the mandible was observed. Panoramic radiography and CBCT showed a mixed lesion surrounded by sclerotic bone. The patient was diagnosed with chronic osteomyelitis in association with FOD and treated with antibiotic therapy together with surgical curettage. The incidence, etiophatology, differential diagnosis, treatment and prevention of secondary osteomyelitis associated with FOD are discussed in the light of literature. This information might assist the dentists while choosing the best treatment options for similar cases.
author	Cral,Wilson Gustavo Tucunduva,Rosana Adami Damante,Jose Humberto Yaedú,Renato Yassutaka Faria Soares,Mariana Quirino Silveira Capelozza,Ana Lúcia Alvares Oliveira,Denise Tostes Rubira,Cassia Maria Fischer
author_facet	Cral,Wilson Gustavo Tucunduva,Rosana Adami Damante,Jose Humberto Yaedú,Renato Yassutaka Faria Soares,Mariana Quirino Silveira Capelozza,Ana Lúcia Alvares Oliveira,Denise Tostes Rubira,Cassia Maria Fischer
author_sort	Cral,Wilson Gustavo
title	Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
title_short	Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
title_full	Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
title_fullStr	Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
title_full_unstemmed	Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
title_sort	conservative treatment of chronic osteomyelitis associated with florid osseous dysplasia
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2019000300275
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Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia

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