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Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report

Authors
 Jong-Ki Huh  ;  Su-Jung Shin 
Citation
 Restorative Dentistry & Endodontics, Vol.38(3) : 160-166, 2013 
Journal Title
Restorative Dentistry & Endodontics
ISSN
 2234-7658 
Issue Date
2013
Keywords
Diagnostic error ; Florid cemento-osseous dysplasia (FCOD) ; Periapical disease ; Root canal treatment
Abstract
This case report demonstrates an unnecessary endodontic treatment of teeth with florid cemento-osseous dysplasia (FCOD) due to a misdiagnosis as periapical pathosis and emphasizes the importance of correct diagnosis to avoid unnecessary treatment. A 30-year-old woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. The periapical lesions associated with these teeth had failed to resolve after root canal treatment over a 3-year period. Radiographic examinations revealed multiple lesions on the right canine, the second premolar, and both first molars as well as the anterior region of the mandible. Based on clinical, radiographic and histological evaluations, the patient condition was diagnosed as FCOD. The patient has been monitored for 2 years. To avoid unnecessary invasive treatment, accurate diagnosis is essential before treatment is carried out in managing FCOD.
Files in This Item:
T201302591.pdf Download
DOI
10.5395/rde.2013.38.3.160
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Su Jung(신수정) ORCID logo https://orcid.org/0000-0001-5795-3919
Huh, Jong Ki(허종기) ORCID logo https://orcid.org/0000-0002-7381-3972
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87459
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