Introduction :
Cemento-Osseous Dysplasia is a benign fibro-osseous lesion affecting
mainly African / African American female patients aged between 40 and 50
(1).
COD is classified into 3 categories according to its location;
- Periapical COD in the periapical region of the anterior teeth.
- Focal COD associated with a single tooth.
- Florid COD (FCOD). In FCOD, lesions appear in more than 1 quadrant
predomintly in the mandible (2).
Radiologically, the lesion is radiolucent at first but becomes
progressively opaque as it matures with the deposition of a
cementum-like non-vascularized tissue (3). For this reason, elective
surgery such as periodontal surgery, extractions or implant placement is
contraindicated (4).
In this case report, we will present a successful implant rehabilitation
of a posterior mandibular edentulism in a patient presenting focal COD
using a modified protocol.