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Case Reports in Dentistry
Volume 2016, Article ID 3920850, 6 pages
http://dx.doi.org/10.1155/2016/3920850
Case Report

Recurrent Monostotic Fibrous Dysplasia in the Mandible

1CIMA Research Group, Faculty of Dentistry, La Frontera University, 1145 Francisco Salazar Avenue, P.O. Box 54-D, 4780000 Temuco, Chile
2Faculty of Sciences of Guarulhos (FACIG), 1844 Guarulhos Avenue, 7196 Guarulhos, SP, Brazil
3Private Physical Therapist, 1171 Pasaje Frankfurt, 4780000 Temuco, Chile

Received 25 March 2016; Accepted 15 May 2016

Academic Editor: Giuseppe Colella

Copyright © 2016 Nilton Alves et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fibrous dysplasia (FD) is a condition in which normal bone marrow is replaced by an abnormal proliferation of new fibrous connective tissue. Female patient, white, 20 years old, attended the dental clinic reporting a slow increase in volume in the right mandible region over the last 5 years. She was examined by imaging: the panoramic X-ray revealed a lesion with the appearance of ground glass while the cone-beam computed tomography showed an extensive lesion in the region of the right hemimandible. The histopathological examination was compatible with fibrous dysplasia. Bone gammagraphy was indicated, plus an endocrinological study to eliminate polyostotic forms, which produced a negative result. Monostotic fibrous dysplasia in the right hemimandible was diagnosed. Conservative surgery was carried out and after 1 year recurrence of the tumour was observed. We may conclude that conservative surgery might not be the best choice for treatment for monostotic fibrous dysplasia in the mandible and that other options must be considered, such as radical surgery or the use of bisphosphonates. In our study, we may also conclude that it is very important to explain to the patient the possibility of recurrence of the lesion and the need for monitoring with periodic imaging studies.