Fibrous dysplasia in the alveolar crest of edentulous site and the curettage for future implant placement: a case report.

IF 2.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE BMC Oral Health Pub Date : 2025-01-02 DOI:10.1186/s12903-024-05116-6
Hao Chen, Yuting Wen, Xueqi Guo, Shiyong Zhao
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Abstract

Background: Fibrous dysplasia (FD) is a self-limiting benign disease with slow progression in which the normal bone is replaced by dysplastic fibrous tissue. The craniofacial skeleton is one of the most commonly affected areas, and it can create unique challenges in dental implant therapy. This case aims to report an unusual presentation of FD localized in the alveolar crest bone of the edentulous site, causing special obstacles to implant placement, and provide a diagnostic and treatment process that may be referenced.

Case presentation: A 32-year-old female patient presented with an abnormal expansion of the alveolar crest on the edentulous site of the mandibular first molar, which caused insufficient inter-arch space and pseudo-pocket in the adjacent teeth, previous medical history of residual root that existed for many years before tooth extraction was identified retrospectively. FD was diagnosed by the clinical, radiographic, and pathological examination, and the curettage was performed to remove abnormal bone tissue and obtain adequate restorative space for further implant therapy. This intervention was followed by histologically confirmed healing and successfully integrated implant placement.

Conclusion: We described an unreported pathogenic site of FD that occurred at the alveolar ridge of the edentulous site, which ended up with satisfactory oral implant rehabilitation through 5-year sequential diagnosis and treatment.

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来源期刊
BMC Oral Health
BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.90
自引率
6.90%
发文量
481
审稿时长
6-12 weeks
期刊介绍: BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.
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