Abstract
All variations of fibro-osseous diseases demonstrate
replacement of normal bone by fibrous connective tissue
matrix within which varying amounts or combinations of
osteoid and mature bone and in some instances
cementum-like tissue are deposited. Case Report: Patient
aged 46 years, was blind since 1991, admitted to the
Department of oral and maxillofacial surgery, (Alsalam
Teaching Hospital, Mosul), June 2010, presented with a
14 years duration increasingly bilateral massive hard
swelling in the lower jaw. The decision taken according
to the clinical and radiographical findings, that matching
the presentation of florid cemento-osseous dysplasia, the
affected mandible resected through a conservative 3
incisions. Results: the H and E stain examination of the
whole resected mass reveals a definite diagnosis of florid
cemento-osseous dysplasia. Discussion: Benign gnathic
lesions, even massive, could be resected via a
conservative surgical approaches, the histopathological
findings is a type of investigation and not the only sole
clue, while the sum of clinical findings and other aids of
investigations make the final decision.