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Article: Volume 46 Number 8 Page 768 - September 2019

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  Dent Update 2019; 46: 768-774

Restorative dentistry:  Craniofacial Polyostotic Fibrous Dysplasia: a Case Report

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Abstract: Fibrous dysplasia is a bone disorder whereby normal medullary bone is replaced by fibrous tissue. Many sites may be affected, including the craniofacial skeleton. A 33-year-old female presented at the Bristol Dental Hospital in 2007 complaining of a prominent and expanding lower jaw as well as poor aesthetics. She was diagnosed with craniofacial polyostotic fibrous dysplasia. In order to manage her concerns and the ongoing growth of the polyostotic lesions, a combined maxillofacial and restorative approach was utilized. After ten years of ongoing management and care, including surgery and dental rehabilitation, her primary concerns have been addressed.

Clinical relevance: The clinician should be able to understand the clinical and radiographic appearance of craniofacial fibrous dysplasia, how the condition can impact a patient and the complex management that may be involved.

Author notes: Claire Forbes-Haley, BDS, MJDF RCS(Eng), FDS RCS(Eng), Consultant in Restorative Dentistry, (email: x, Anna Najran, BSc, BChD, MFDS, RCPS, Dental Core Trainee in Restorative Dentistry, Sukbir Nandra, BDS MFDS RCSEd,PGCert MedEd, Dental Core Trainee in Restorative Dentistry and Surina Bhola, BDS, MFDS, RCPSG PgCert, Dental Core Trainee in Restorative Dentistry, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK.

Objective: To demonstrate how to recognize craniofacial fibrous dysplasia and the complex treatment that may be involved. Enhanced CPD DO C


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