A Case Report & Review of Literature of Florid Cemento-Osseous Dysplasia (FCOD)

Florid cemento-osseous dysplasia (FCOD) is a rare, multifocal fibro-osseous dysplasia affecting tooth-bearing areas of the jaw, characterized by replacement of normal trabecular bone with disorganized osseous tissue and dense acellular cementum in a fibrous stroma. It is one of the variants of non-neoplastic fibro-osseous lesions known as cemento-osseous dysplasias (CODs), thought to arise from elements of the periodontal ligament. The word 'florid' relates to extensive, wide spread presentation of the disease in the jaws. FCOD is most commonly found in middle-aged, black women with the prevalence of 5.5%. It is even rarer based on the reports Indian Population. It predominantly affects middle-aged women of African descent, less frequently in Caucasian and Asian groups. Generally florid cemento-osseous dysplasia is asymptomatic, and is usually detected during radiological examination. In this report, we present a case of a 46-year-old female patient diagnosed with diffuse sclerosing osteomyelitis later on histopathological examination revealed FCOD.