(TC32) Case Report of an Atypical Symptomatic Focal Cemento-Osseous Dysplasia Treated with Combined Endodontic Therapies

Abstract: Benign Fibro-Osseous Lesions (BFOLs) represent a histologically similar group of disorders that cause fibrous changes within bone. Of these, Cemento-Osseous Dysplasia (COD) is the most common. Focal Cemento-Osseous Dysplasia (FCOD) is one of three sub-types of COD and is localized to a single tooth or region of the jaw. Typically these cases are asymptomatic, and require no treatment other than clinical and radiographic follow-up. According to literature however, nearly 60% of patients may manifest at least one symptom from inflammation associated with COD lesions; certain cases may warrant some type of intervention. Recently published articles have demonstrated favorable prognosis of up to 27 months when combinations of vital pulp therapy and non-surgical root canal treatment have been applied to multi-rooted teeth. This table clinic illustrates the use of a novel approach to treat a diagnostically challenging tooth presenting with a symptomatic FCOD lesion. Clinical, radiographic, and histopathological features of Focal Cemento-Osseous Dysplasia, and the use of combined endodontic treatment will be considered.