Dilemma with implant placement in patients with florid cemento-osseous dysplasia: A literature review

Florid cemento-osseous dysplasia (FCOD) is a reactive bony lesion in which normal bone is replaced by fibrous and cementum like tissue. The differential diagnosis of this condition includes solitary bone cyst, solitary ossifying fibroma, and chronic diffuse osteomyelitis. It is often an incidental finding on a radiograph. Radiographically, it presents as a bilateral radiolucent lesion or lobulated radio-opaque masses with an affinity for tooth-bearing areas. Mostly, it progresses asymptomatically, usually diagnosed on a routine radiographic examination. Periodontal surgeries, extractions along with surgical invasive procedures have been determined to be a contraindication in these patients. There is a scarcity of literature to determine if patients with these lesions could be considered for prosthetic rehabilitative procedures like dental implants. The purpose of this literature review was to determine if dental implants could be considered as a treatment modality in patients with FCOD.