Florid cemento-osseous dysplasia mimicking apical periodontitis: A case report.

Aust Endod J

Private Practice, Tehran, Iran Endodontic Department, Shahed Dental School, Tehran, Iran Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran School of Dentistry, University of Western Australia, Perth, Western Australia, Australia.

Published: December 2013

AI Article Synopsis

  • Cemento-osseous dysplasia can appear as different types of lesions in the jaw and may resemble other dental issues on X-rays.
  • A case involved a patient with irreversible pulpitis and root resorption, showing a mixed radiolucent/radiopaque lesion near a molar root, leading to root canal treatment and periapical surgery.
  • After the surgery, histopathology confirmed florid cement-osseous dysplasia, which was previously mistaken for apical periodontitis, and follow-up images showed complete healing after one year.

Article Abstract

Cemento-osseous dysplasia may present as a focal, periapical or florid lesion in the mandible or maxilla. The lesion may sometimes appear similar to peri-radicular lesions on a periapical radiograph. This report presents a case with irreversible pulpitis and root resorption as well as a mixed radiolucent/radiopaque lesion around a mandibular molar tooth root. Root canal treatment was performed and because of the radiographic signs of root resorption and the patient's fear of having a malignant disease, periapical surgery was also performed. The histopathology report confirmed the presence of florid cement-osseous dysplasia which was mimicking apical periodontitis. Follow-up radiography 12 months after the surgery illustrated complete healing of the radiolucent area.

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Source
http://dx.doi.org/10.1111/j.1747-4477.2011.00325.xDOI Listing

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