Florid cemento-osseous dysplasia mimicking multiple periapical pathology--an endodontic dilemma.
A case of florid cemento-osseous dysplasia (COD) mimicking periapical pathology is presented. The fact that the patient's lesion failed to resolve three years after root canal therapy, in addition to the presence of a mixed radiolucency with discreet radiopacities, mandated a biopsy which (along with radiographic co-relation) confirmed the diagnosis of cemento-osseous dysplasia. This case report illustrates the point that periapical radiolucencies may represent benign fibro-osseous lesions that may be overlooked or result in unnecessary endodontic treatment.
Islam
Mohammed Nadimul
MN
Department of Oral Pathology, Medicine and Radiology, Indiana University, School of Dentistry, Indianapolis, USA.
Cohen
Donal M
DM
Kanter
Keith G
KG
Stewart
Carol M
CM
Katz
Joseph
J
Bhattacharyya
Indraneel
I
D000328:Adult; D002485:Cementoma / Q000000981:diagnostic imaging / Q000473:pathology*; D003805:Dentin Dysplasia / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007571:Jaw Diseases / Q000000981:diagnostic imaging / Q000473:pathology; D008439:Maxillary Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D010483:Periapical Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D010513:Periodontal Ligament / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D012390:Root Canal Therapy / Q000379:methods