Florid Cemento-Osseous Dysplasia – A Rare Case with Diverse Radiographic Presentation

Florid cemento osseous dysplasia (FCOD) is a rare, benign lesion affecting both the jaws. It is found more commonly in middle aged black females and also in Caucasians and Asians. It is characterized by substitution of bone with cement-osseous tissue. Generally asymptomatic, FCOD is typically an incidental finding in routine radiographs. Radiographic features depend on the developmental stage of the lesion which may be radiolucent, mixed or radio opaque. Usually presents bilaterally symmetrical in association with the periapical area of the dentition. May present with multiple impacted teeth in the jaw and has a slight familial distribution. Hereby we present a case of FCOD and multiple impacted teeth with a radiographic presentation of all the three stages of formation.