Cranio-Facial Fibrous Dysplasia: A case report of a conservative treatment in a monostotic form associated with an orthodontic management and a bone graft of the non-lytic bone area for dental implant rehabilitation
Article Sidebar
Main Article Content
Abstract
Fibrous dysplasia is an osteolytic lesion in which bone is replaced by an instable fibrous osseous tissue. The aim of this case report is to highlight dental rehabilitation (bone grafts to allow dental implant) on patients suffering of this condition.
A 39-year-old female with a hard-traumatic event in childhood desired a dental implant rehabilitation on her teeth 19 and 30 after an orthodontic alignment. A Cone-Beam Computed Tomography (CBCT) was performed showing a massive radiopaque lesion of the anterior mandible. The bone grafts and dental implants were successfully managed. A non-invasive treatment with regular follow up was chosen for this case. No evolution was noticed twenty-four month later at the follow up CBCT.
Article Details
Copyright (c) 2019 Seban A, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Pack SE, Al Share AA, Quereshy FA, Baur DA. Osteosarcoma of the Mandible Arising in Fibrous Dysplasia-A Case Report. J Oral Maxillofac Surg. 2016; 74: 2229.e1-2229.e4. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27425882
Qu N, Yao W, Cui X, Zhang H. Malignant transformation in monostotic fibrous dysplasia: clinical features, imaging features, outcomes in 10 patients, and review. Medicine (Baltimore). 2015; 94: e369. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/25621678
Leet AI, Collins MT. Current approach to fibrous dysplasia of bone and McCune-Albright syndrome. J Child Orthop. 2007; 1: 3-17. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19308500
DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am. 2005; 87: 1848-1864. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16085630
Hsissen MA, Kadiri F, Zamiati S, Jabri L, Rifki S, et al. A case of facial fibrous dysplasia in brothers. Rev Stomatol Chir Maxillofac. 1997; 98: 96-99. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9324737
Hunter AG, Jarvis J. Osteofibrous dysplasia: two affected male sibs and an unrelated girl with bilateral involvement. Am J Med Genet. 2002; 112: 79-85. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12239726
Parekh SG, Donthineni-Rao R, Ricchetti E, Lackman RD. Fibrous dysplasia. J Am Acad Orthop Surg. 2004; 12: 305-313. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15469225
Sargin H, Gozu H, Bircan R, Sargin M, Avsar M, et al. A case of McCune-Albright syndrome associated with Gs alpha mutation in the bone tissue. Endocr J. 2006; 53: 35-44. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16543670
Pierre Gangloff, Anne Polo, Hevré Moizan, Nicolas Froment, Eric Gerard. Maxillary tumefaction revealing a fibrous dysplasia. A case report. Med Buccale Chir Buccale. 2004; 10: 77-81.
Long A, Loughlin T, Towers RP, McKenna TJ. Polyostotic fibrous dysplasia with contrasting responses to calcitonin and mithramycin: aetiological and therapeutic implications. Ir J Med Sci. 1988; 157: 229-234. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/2971632
Edgerton MT, Persing JA, Jane JA. The surgical treatment of fibrous dysplasia. With emphasis on recent contributions from cranio-maxillo-facial surgery. Ann Surg. 1985; 202: 459-479. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3901941
Singh V, Gupta K, Salunke P. Monostotic craniofacial fibrous dysplasia: report of two cases with interesting histology. Autops Case Rep. 2019; 9. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31321219
Kaynak BA. Conservative treatment of Fibrous Dysplasia. Pak J Med Sci. 2019; 35: 873-876. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31258611
Majoor BCJ, Traunmueller E, Maurer-Ertl W, Appelman-Dijkstra NM, Fink A, et al. Pain in fibrous dysplasia: relationship with anatomical and clinical features. Acta Orthop. 2019; 90: 401-405. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31035847
Kochanowski NE, Badry MS, Abdelkarim AZ, Lozanoff S, Syed AZ. Radiographic Diagnosis of Fibrous Dysplasia in Maxilla. Cureus. 2018; 10: e3127. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30345186
Chennoju SK, Pachigolla R, Govada VM, Alapati S, Balla S. Idiosyncratic Presentation of Cemento-Osseous Dysplasia - An in Depth Analysis Using Cone Beam Computed Tomography. J Clin Diagn Res. 2016; 10: ZD08-10. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27437374
Norris MA, Kaplan PA, Pathria M, Greenway G. Fibrous dysplasia: magnetic resonance imaging appearance at 1.5 tesla. Clin Imaging. 1990; 14: 211-215. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/2224623
Wilbur AC, Dobben GD, Linder B. Paraorbital tumors and tumor-like conditions: role of CT and MRI. Radiol Clin North Am. 1987; 25: 631-646. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3107049
Casselman JW, De Jonge I, Neyt L, De Clercq C, D'Hont G. MRI in craniofacial fibrous dysplasia. Neuroradiology. 1993; 35: 234-237. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8459931
Shah ZK, Peh WC, Koh WL, Shek TW. Magnetic resonance imaging appearances of fibrous dysplasia. Br J Radiol. 2005; 78: 1104-1115. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16352586
Franz D, Wechselberger J, Rasper M, Specht K, Kehl V, et al. Milk cloud appearance-a characteristic sign of fibrous dysplasia on contrast-enhanced MR imaging. Eur Radiol. 2019; 29: 3424-3430. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31062134
Johannsen A. Chronic sclerosing osteomyelitis of the mandible. Radiographic differential diagnosis from fibrous dysplasia. Acta Radiol Diagn (Stockh). 1977; 18: 360-368. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/899860
Leeds N, Seaman WB. Fibrous dysplasia of the skull and its differential diagnosis. A clinical and roentgenographic study of 46 cases. Radiology. 1962; 78: 570-582. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14463598
Riddle ND, Bui MM. Fibrous dysplasia. Arch Pathol Lab Med. 2013; 137: 134-138. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23276185
Alves N, de Oliveira RJ, Takehana D, Deana NF. Recurrent Monostotic Fibrous Dysplasia in the Mandible. Case Rep Dent. 2016; 2016: 3920850. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27340572
Prada EJ, Hassan KH, Brandi ML, Falchetti A. Polyostotic form of fibrous dysplasia in a 13 years old Colombian girl showing clinical and biochemical response to neridronate intravenous therapy. Clin Cases Miner Bone Metab. 2009; 6: 264-265. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22461257
Park BY, Cheon YW, Kim YO, Pae NS, Lee WJ. Prognosis for craniofacial fibrous dysplasia after incomplete resection: age and serum alkaline phosphatase. Int J Oral Maxillofac Surg. 2010; 39: 221-226. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20083386
Xiang Fang, Hongyuan Liu, Yun Lang, Yan Xiong, Hong Duan. Fibrous dysplasia of bone: Surgical management options and outcomes of 22 cases. Mol Clin Oncol. 2018; 9: 98-103. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29977545
Kos M, Luczak K, Godzinski J, Klempous J. Treatment of monostotic fibrous dysplasia with pamidronate. J Craniomaxillofac Surg. 2004; 32: 10-15. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14729043
Lee JS, FitzGibbon EJ, Chen YR, Kim HJ, Lustig LR, et al. Clinical guidelines for the management of craniofacial fibrous dysplasia. Orphanet J Rare Dis. 2012; 7: S2. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22640797
Kose TE, Dincer Kose O, Erdem MA, Cankaya A, Ozcan Duman I. Monostotic fibrous dysplasia presenting in maxilla: a case report. J Istanb Univ Fac Dent. 2016; 50: 38-42. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28955564
Nair PP, Bhargava D, Thomas S, Shreenivas K. Immature fibrous dysplasia: a mixed radio-opaque radiolucent lesion. BMJ Case Rep. 2013; 2013. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23291823