Fibro-osseous Lesions

Question 1

Pathology of fibro-osseous lesions

Answer 1

Replacement of bone by fibrous connective tissues in which mineralized material gets deposited

Question 2

Which syndromes are related to fibrous dysplasia?

Answer 2

• Jaffe-Lichtenstein syndrome ( Cafe au lait )
• McCune-Albright Syndrome ( Cafe au lait + multiple endocrinopathies )
• Mazabraud syndrome ( intra-muscular myxomas )

Question 3

How do you manage Fibrous Dysplasia?

Answer 3

Clincoradiographic diagnosis
FD usually stabilizes upon skeletal maturation
Some even show some regression

• Surgical Intervention followed by regrowth
  Delay surgery until disease burns out

Question 4

What is a cemento-ossifying fibroma

Answer 4

It is true neoplasm with significant growth potential
Benign mesenchymal odontogenic neoplasm.

Question 5

General radiographic features of Cemento-ossifying fibroma?

Answer 5

Nice cortical rim, center mixed, tooth displacement, expansion seen on CBCT.

Question 6

Management of Cemento-ossifying fibroma

Answer 6

Clinicoradiologic features + Incisional biopsy
Lesions are well circumscribed
Large lesions may need resection and reconstruction

Question 7

Cemento-Osseous Dysplasia Types

Answer 7

Focal
Peri-apical
Florid