FAMILIAL FORM OF CRANIOFACIAL FIBROUS DYSPLASIA: A CASE REPORT.
Ayat GAMAL-ABDELNASER1, Noha Adel AZAB2, Soha MOHIEELDIN3, Tarek EL-GHAREEB4.
1Department of Oral Medicine and Periodontology, Faculty of Dentistry, Ahram Canadian University, Egypt.
2Department of Oral Medicine and Periodontology, Faculty of Dentistry, Cairo University, Egypt.
3Department of Endodontics, Faculty of Oral and Dental Medicine, Ahram Canadian University, Egypt.
4Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Egypt.
Fibrous dysplasia is a benign disease of bone that may affect single or multiple bones. Craniofacial fibrous dysplasia may occur in a familial manner. This report deals with a patient who presented with multiple bony craniofacial prominences; with a positive family history of similar lesions. The lesions started to appear at his early teenage years and new lesions continued to arise and grow till 18 years of age. The lesions were expansile causing esthetic impairment. The case was diagnosed as a familial form of craniofacial fibrous dysplasia. Surgical recontouring was performed to the lesion that formed the patient's chief complaint. Later on the fibro-osseous lesion crept into the pulp canals of the related teeth causing pulpitis. Craniofacial fibrous dysplasia presentation varies according to the area affected, but it generally has a favorable diagnosis. However, we do recommend that periodic vitality testing be performed for teeth in proximity of the lesion.
Keywords: Craniofacial fibrous dysplasia, Endodontic, Esthetics, Facial asymmetry, GNAS1 protein, Pulpitis.
Corresponding author: Noha Adel Azab, Oral Medicine and Periodontology Department Faculty of Dentistry, Cairo University, Egypt. 11 El-Saraya St. - Manial - Cairo, Egypt
Brunei Int Med J.2022;18:94-98