Cone beam computed tomography findings in monostotic fibrous dysplasia of the mandible: a case report

Authors

  • Rr Dinar Restiti 085704314161, Indonesia
  • Aries Sugih Budhiana Resident of DMF Radiology, Faculty of Dentistry, Padjadajaran University, Bandung, Indonesia
  • Farina Pramanik Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Padjadjaran University, Bandung, Indonesia

DOI:

https://doi.org/10.32793/jrdi.v9i3.1341

Keywords:

CBCT, diagnosis, fibrous dysplasia

Abstract

Objectives: This case report aims to describe the three-dimensional radiographic characteristics of fibrous dysplasia affecting the mandible.

Case Report: A 38-year-old female patient presented to the Dental Hospital of Padjadjaran University with complaints of swelling in the right lower jaw, accompanied by a sensation of heat and limited mouth opening of approximately 2 cm. The patient was subsequently referred for a Cone-Beam Computed Tomography (CBCT) examination.

Conclusion: Based on the CBCT findings, radiographic features revealed radiolucent, ill-defined, and expansile lesions involving the facial bones. These findings support a radiological diagnosis suggestive of fibrous dysplasia.

References

1. Adetayo OA, Salcedo SE, Borad V, Richards SS, Workman AD, Ray AO. Fibrous dysplasia: an overview of disease process, indications for surgical management, and a case report. Eplasty. 2015;15:16.

2. Majoor BCJ, Traunmueller E, Maurer-Ertl W, Appelman- Dijkstra NM, Fink A, Liegl B, et al. Pain in fibrous dysplasia: relationship with anatomical and clinical features. Acta Orthopaedica. 2019;90(4):401–405.

3. Kushchayeva YS, Kushchayev S V., Glushko TY, Tella SH, Teytelboym OM, Collins MT, et al. Fibrous dysplasia for radiologists: beyond ground glass bone matrix. Insights into Imaging. 2018;9(6):1035–1056.

4. Kaynak BA. Conservative treatment of Fibrous Dysplasia. Pakistan Journal of Medical Sciences. 2019;35(3):873–876.

5. Anitha N, Sankari SL, Malathi L, Karthick R. Fibrous dysplasia-recent concepts. Journal of Pharmacy and Bioallied Sciences. 2015;7(April):S171–172.

6. Obirija SE, Rasheed MW, Okonkwo JE. A rare case of fibrous dysplasia in the mandible: a case report. Nigerian Journal of Dental Research. 2024;9(1):5–19

7. Feller L, Wood NH, Khammissa RA, Lemmer J, Raubenheimer EJ. The nature of fibrous dysplasia. Head and Face Medicine. 2009;5(1):1–5.

8. Muthusamy et al. Locally Aggressive Fibrous Dysplasia Mimicking Malignancy: A Report of Four Cases and Review of the Literature. Clinical Orthopaedics and Related Research. 2015; 473(2):742-750.

9. Gupta S, Jain S. Orthopantomographic Analysis for Assessment of Mandibular Asymmetry. Journal of Indian Orthodontic Society. 2012;46(1):33–37.

10. Zhao X, Deng P, Iglesias-Bartolome R, Amornphimoltham P, Steffen DJ, Jin Y, et al. Expression of an active G?s mutant in skeletal stem cells is sufficient and necessary for fibrous dysplasia initiation and maintenance. Proc Natl Acad Sci U S

A. 2018 Jan 16;115(3):E428–437.

11. Bhattacharya, S. and Mishra, R. Fibrous dysplasia and cherubism. Indian Journal of Plastic Surgery, 2015;48(03):236-248.

12. Guruprasad Y, Chauhan D. Craniofacial fibrous dysplasia - A review of current management techniques. Chronicles of Young Scientists. 2012;3(2):106.

13. Robinson C, Collins MT, Boyce AM. Fibrous Dysplasia/McCune-Albright Syndrome: Clinical and Translational Perspectives. Vol. 14, Current Osteoporosis Reports. Current Medicine Group LLC 1; 2016. p. 178–86.

14. Zanetti D, Gamba P. Cholesteatoma and fibrous dysplasia of the temporal bone: Case report and review of the literature. Journal of Otolaryngology. 2007;36(1):59–63.

15. Weinstein LS, Chen M, Liu J. Gs? mutations and imprinting defects in human disease. Annals of the New York Academy of Sciences. 2002;968:173–197.

16. Nagar J, Joshi S, Verma RK, Patel AK, Deora KN, Sharma G. A rare case report of fibrous dysplasia of maxillary bone causing progressive vision loss: Case report. IP Journal of Otorhinolaryngology and Allied Science. 2022;5(2):35–41.

17. Scarfe WC, Farman AG. What is Cone-Beam CT and How Does it Work? Dental Clinics of North America. 2008;52(4):707–730.

18. Suphanantachat S, Tantikul K, Tamsailom S, Kosalagood P, Nisapakultorn K, Tavedhikul K. Comparison of clinical values between cone beam computed tomography and conventional intraoral radiography in periodontal and infrabony defect assessment. Dentomaxillofacial Radiology. 2017;46(6):20160461

19. Kurniati N. Evaluasi Diagnostik Lesi Endo-Perio Yang Menetap Setelah Perawatan Endodontik Menggunakan Radiografi Periapikal Dan CBCT. 2019;15(1):6–11

20. Deana NF, Alves N. Cone Beam CT in Diagnosis and SurgicalPlanning of Dentigerous Cyst. Case Reports in Dentistry. 2017; 2017(Feb):1-6.

21. Bayat S, Talaeipour AR, Sarlati F. Detection of simulated periodontal defects using cone-beam CT and digital intraoral radiography. Dentomaxillofacial Radiology. 2016;45(6).20160030

22. Zhang L, He Q, Li W, Zhang R. The value of 99mTc- methylene diphosphonate single photon emission computed tomography/computed tomography in diagnosis of fibrous dysplasia. BMC Medical Imaging. 2017;17(1):46.

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Published

2025-12-30

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