Article: Volume 48 Number 5 Page 409 - May 2021

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  Dent Update 2021; 48: 409-416

Orthodontics:  Fibrous dysplasia: dental and orthodontic implications

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Abstract: Fibrous dysplasia is a benign condition characterized by replacement of bone by a fibro-osseous tissue. This article describes the aetiology, diagnosis and classification of the condition. We discuss the clinical presentation of fibrous dysplasia along with its craniofacial effects. The presentation of fibrous dysplasia in the dental setting is described, along with specific implications for dental and orthodontic management of these patients.

Clinical relevance: Given the wide array of conditions that can present to GDPs, it is important to be aware of fibrous dysplasia as a possible cause of some signs and symptoms. The presentation, diagnosis and dental management of this group of patients is presented from a clinical perspective.

Author notes: Hesham Ali, BDS, MDPH, MSc (Orthodontics), MFDS RCSEd, MOrth RCSEng, FDS (Orth) RCSEd, Consultant in Orthodontics, Royal Bolton Hospital, Bolton. Awais Ali, BDS, MJDF (Eng), Clinical Dental Officer, Integrated Care Centre, Dental Department. Ovais Malik, BDS, MSc (Orth), MFDS RCSEd, MOrth RCSEng, MOrth RCSEd, FDS (Orth) RCSEng, Consultant in Orthodontics, Salford Royal NHS Foundation Trust, Manchester. email:

Objective: To understand the aetiology, diagnosis, classification and natural history of fibrous dysplasia and be able to identify patients who require referral to secondary care.