Edentulous as well as dentulous patients may develop florid cemento-osseous dysplasia. Simple bone cysts have also been associated with this condition. The simple bone cysts that happen to be associated with florid cemento-osseous dysplasia demonstrate a thin lining of loose fibrous connective tissue. Management of this condition is based upon symptomatology. In the asymptomatic patient, the typical approach consists of regular recall follow up examinations with oral prophylaxis.
Emphasis is on the control of periodontal disease and the prevention of tooth loss.
Biopsy of the condition is not indicated in the asymptomatic patient. The management of the symptomatic patient is more complex. Symptoms may begin after exposure of these sclerotic osseous and cemental masses into the oral cavity secondary to alveolar ridge atrophy beneath a denture. At this point, there is usually an inflammatory component of the disease producing osteomyelitis. Sequestration of the fragments of exposed bone and cementum occurs slowly and is followed by healing.