title: Cemento-osseous dysplasia in an elderly Asian male: a case report.
abstract: Cemento-osseous dysplasia is a disorder typically found in middle-aged black women. However, the present report describes a case in a 61-year-old Vietnamese male. Without proper pulp testing and diagnosis, the radiographic presentation can easily be misdiagnosed as periapical periodontitis. On the basis of pulp vitality, lack of clinical symptoms and radiographic features, the diagnosis in this case was periapical cemento-osseous dysplasia at the mixed stage, which generally requires no treatment. At the 18-month follow-up, the patient was still asymptomatic and none of the clinical signs had changed. This case highlights the importance of careful clinical examination, including a pulp vitality test, and of having an unbiased view of age, gender, and ethnicity when diagnosing this condition.
authors.affiliation: Department of Endodontics, Texas A&M Health Science Center Baylor College of Dentistry, TX, USA. tkomabayashi@bcd.tamhsc.edu
authors.forename: Takashi
authors.initials: T
authors.lastname: Komabayashi
authors.forename: Qiang
authors.initials: Q
authors.lastname: Zhu
mesh_terms: D003791:Dental Pulp Test; D003937:Diagnosis, Differential; D005357:Fibrous Dysplasia of Bone / Q000145:classification / Q000473:pathology*; D006801:Humans; D007180:Incisor; D008297:Male; D008334:Mandible; D008875:Middle Aged; D010483:Periapical Diseases / Q000145:classification / Q000473:pathology*; D010485:Periapical Periodontitis / Q000139:chemically induced; D014744:Vietnam