This case report highlights a 55-year-old female patient presenting with pain and pus discharge from the right side of her face. The patient exhibited diffuse bony lesions characterised by significant bone expansion and exposed mandibular alveolar bone covered with slough. A CT scan revealed radioopaque masses scattered throughout the mandible and maxilla, with radiographic features similar to chronic sclerosing osteomyelitis. Histological examination showed formations of dense sclerotic calcified cementum-like masses. The lesion comprised cementum-like substances with islands of calcified deposits and areas of loose fibro-collagenous stroma.
Additionally, this report includes a 28-year-old male patient with spacing and malpositioned teeth. Extra-oral examination revealed a slight maxillary deficiency, while intraoral examination showed a high frenum attachment between the maxillary central incisors, missing first molars on both sides, and a retained maxillary deciduous second molar on the left side. Based on the history, clinical features, radiographic findings, and histological report, a final diagnosis of familial florid cemento-osseous dysplasia (FCOD) was made.
These cases underscore the importance of comprehensive diagnostic approaches, including clinical, radiographic, and histological evaluations, in accurately diagnosing and managing complex odontogenic lesions.