Florid osseous dysplasia in a middle-aged Turkish woman: A case report
A 42-year-old female patient was admitted to the Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University with a complaint of bleeding on the gums. The patient's medical history included having undergone treatment for pernicious anemia and a gastric ulcer two years earlier. On intraoral examination, the patient was asymptomatic except for a few restored and missing teeth.\nA lesion was found incidentally on routine periapical radiographs taken for the restored teeth and edentulous areas (). Radiopaque masses were coincidentally observed in the periapical radiographs but the exact boundaries of the masses could not be seen. For further and more detailed examination, cone-beam computed tomography (CBCT) and a panoramic radiograph were taken. The panoramic radiograph and CBCT revealed maxillary bilateral and symmetrical, well-defined, round, radiopaque masses in contact with the root of the maxillary right second molar and left first molar teeth. Lobular, irregularly shaped radiopacities with clear radiolucent demarcation were also present in the right edentulous mandibular molar area ( and ). The bucco-lingual aspects of the lesions were best visualized on the axial CBCT image (). CBCT added valuable radiographic information regarding the relationships of the lesions with significant anatomical structures, cortical plates, and tooth roots. After ethyl chloride application, the teeth were found to be vital. The overlying mucosa and gingiva had no signs of inflammation. A diagnostic biopsy was taken from the right mandibular molar area under local anesthesia. The obtained specimen was sent for a histopathological examination. Dirty yellow, bone-hard tissues of 1 cm×1 cm×0.6 cm dimensions were analyzed in this examination. On the basis of the histopathologic findings, the tumor was diagnosed as FOD (). Because of the asymptomatic nature of the tumor, no further treatment was proposed. The patient was advised to have routine follow-up examinations at six-month intervals. The patient has been encouraged to maintain an effective oral hygiene program. The case has been followed up over the last 14 months and has remained asymptomatic.