Reabilitação oral em paciente com displasia cemento-óssea florida – relato de caso clínico

Abstract

Florid cemento-osseous dysplasia (FCOD) is a fibro-osseous, non-neoplastic, usually asymptomatic, predominantly female and melanodermic lesion. It is usually an incidental finding on routine examinations and is the most common fibro-osseous lesion found in dental offices. Although usually asymptomatic, the disease can cause signs and symptoms, such as pain, alveolar fistula, and exposure of avascular bone in the oral cavity, leading the patient to seek care. Although the cause-effect relationship is still under study, many authors relate the onset of symptoms in patients with FCOD to the use of total and partial removable prostheses, requiring periodic follow-up of patients diagnosed with FCOD who use removable prostheses. The case of a 69-year-old female patient, melanoderma, who came to the Stomatological Diseases Specific Care Program (PROCEDE) at the Federal University of Uberlândia (UFU) complaining of severe pain, will be described. After anamnesis, clinical and radiographic exam the patient was diagnosed with FCOD, receiving drug and surgical treatment, where an opening and bone curettage was performed. At the end of treatment the patient was referred to the extension program of Multidisciplinarity in Health Care for the Elderly (MASI) at UFU, since she had unsatisfactory upper and lower total prosthesis, where it was decided to use an inner lining with soft material on the lower prosthesis, in order to better distribute the chewing forces and give more comfort to the patient