Miriam Gabay MS, OHS , Louis DiPede DMD , Maria Fornatora DMD , Jie Yang DMD, MMedSc, MS, DMD , Chukwuebuka Ogwo DDS, MSIH, MSc, PhD
{"title":"成年患者有症状与无症状花斑状骨水泥骨发育不良的治疗指征：系统回顾","authors":"Miriam Gabay MS, OHS , Louis DiPede DMD , Maria Fornatora DMD , Jie Yang DMD, MMedSc, MS, DMD , Chukwuebuka Ogwo DDS, MSIH, MSc, PhD","doi":"10.1016/j.oooo.2024.06.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to identify treatment indications for symptomatic and asymptomatic florid cemento-osseous dysplasia (FCOD) in adult patients and explore relationships between clinical variables and radiographic findings (PROSPERO # CRD42023411228).</div></div><div><h3>Study Design</h3><div>A systematic review was conducted by independent investigators using databases: PubMed, ProQuest, Embase, Web of Science, Dentistry and Oral Sciences Database (DOSS), and TRIP to identify studies on FCOD treatment options in adults. Inclusion criteria for this systematic review included: originally in English; open-access; published between 2001 and 2021. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Joanna Briggs Institute (JBI) Critical Appraisal checklist were used for reporting and quality assessment of each study.</div></div><div><h3>Results</h3><div>From the initial 122 studies, 11 fit criteria for this systematic review. Eight studies reported symptoms as clinical presentation of FCOD, 6 reported swelling, and 3 reported infection. Five studies recommended surgical treatment in symptomatic patients with anatomic structure changes around the lesions, such as presence of necrotic bone and secondary infection. Treatment of asymptomatic FCOD was contraindicated in 10 studies. Dental prophylaxis was recommended.</div></div><div><h3>Conclusion</h3><div>Dental prophylaxis and monitoring were the most common management strategies for asymptomatic and symptomatic FCOD. Surgical curettage with stimulation of bleeding, or pulp vitality testing of specific areas with periapical inflammation were treatment options for symptomatic cases.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"138 6","pages":"Pages 686-701"},"PeriodicalIF":1.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Treatment indications for symptomatic versus asymptomatic florid cemento-osseous dysplasia in adult patients: a systematic review\",\"authors\":\"Miriam Gabay MS, OHS , Louis DiPede DMD , Maria Fornatora DMD , Jie Yang DMD, MMedSc, MS, DMD , Chukwuebuka Ogwo DDS, MSIH, MSc, PhD\",\"doi\":\"10.1016/j.oooo.2024.06.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>The objective of this study was to identify treatment indications for symptomatic and asymptomatic florid cemento-osseous dysplasia (FCOD) in adult patients and explore relationships between clinical variables and radiographic findings (PROSPERO # CRD42023411228).</div></div><div><h3>Study Design</h3><div>A systematic review was conducted by independent investigators using databases: PubMed, ProQuest, Embase, Web of Science, Dentistry and Oral Sciences Database (DOSS), and TRIP to identify studies on FCOD treatment options in adults. Inclusion criteria for this systematic review included: originally in English; open-access; published between 2001 and 2021. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Joanna Briggs Institute (JBI) Critical Appraisal checklist were used for reporting and quality assessment of each study.</div></div><div><h3>Results</h3><div>From the initial 122 studies, 11 fit criteria for this systematic review. Eight studies reported symptoms as clinical presentation of FCOD, 6 reported swelling, and 3 reported infection. Five studies recommended surgical treatment in symptomatic patients with anatomic structure changes around the lesions, such as presence of necrotic bone and secondary infection. Treatment of asymptomatic FCOD was contraindicated in 10 studies. Dental prophylaxis was recommended.</div></div><div><h3>Conclusion</h3><div>Dental prophylaxis and monitoring were the most common management strategies for asymptomatic and symptomatic FCOD. Surgical curettage with stimulation of bleeding, or pulp vitality testing of specific areas with periapical inflammation were treatment options for symptomatic cases.</div></div>\",\"PeriodicalId\":49010,\"journal\":{\"name\":\"Oral Surgery Oral Medicine Oral Pathology Oral Radiology\",\"volume\":\"138 6\",\"pages\":\"Pages 686-701\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral Surgery Oral Medicine Oral Pathology Oral Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S221244032400350X\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/26 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221244032400350X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/26 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Treatment indications for symptomatic versus asymptomatic florid cemento-osseous dysplasia in adult patients: a systematic review
Objectives
The objective of this study was to identify treatment indications for symptomatic and asymptomatic florid cemento-osseous dysplasia (FCOD) in adult patients and explore relationships between clinical variables and radiographic findings (PROSPERO # CRD42023411228).
Study Design
A systematic review was conducted by independent investigators using databases: PubMed, ProQuest, Embase, Web of Science, Dentistry and Oral Sciences Database (DOSS), and TRIP to identify studies on FCOD treatment options in adults. Inclusion criteria for this systematic review included: originally in English; open-access; published between 2001 and 2021. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Joanna Briggs Institute (JBI) Critical Appraisal checklist were used for reporting and quality assessment of each study.
Results
From the initial 122 studies, 11 fit criteria for this systematic review. Eight studies reported symptoms as clinical presentation of FCOD, 6 reported swelling, and 3 reported infection. Five studies recommended surgical treatment in symptomatic patients with anatomic structure changes around the lesions, such as presence of necrotic bone and secondary infection. Treatment of asymptomatic FCOD was contraindicated in 10 studies. Dental prophylaxis was recommended.
Conclusion
Dental prophylaxis and monitoring were the most common management strategies for asymptomatic and symptomatic FCOD. Surgical curettage with stimulation of bleeding, or pulp vitality testing of specific areas with periapical inflammation were treatment options for symptomatic cases.
期刊介绍：
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.
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