Discussion Florid cemento-osseous dysplasia has been reported under the terms sclerosing osteitis and chronic diffuse sclerosing osteomyelitis. It has not been observed in extragnathic locations. Florid cemento-osseous dysplasia exhibits a distinct predilection for black females. The typical presentation involves bilateral involvement of the posterior mandible. Cases involving the posterior maxilla have also been observed.
Most cases are totally asymptomatic and only detected on radiographic examination.
Occasionally, however, the patient may complain of a dull ache or pain in the affected areas. Radiographic assessment reveals that most of these lesions are radiopaque and exhibit a lobular pattern. 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.