title: Florid cemento-osseous dysplasia mimicking apical periodontitis: A case report.
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.
authors.affiliation: 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.
authors.forename: Ali Reza
authors.initials: AR
authors.lastname: Rekabi
authors.forename: Rezvan
authors.initials: R
authors.lastname: Ashouri
authors.forename: Molok
authors.initials: M
authors.lastname: Torabi
authors.forename: Masoud
authors.initials: M
authors.lastname: Parirokh
authors.forename: Paul V
authors.initials: PV
authors.lastname: Abbott
mesh_terms: D002485:Cementoma / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging*; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging*; D010485:Periapical Periodontitis / Q000000981:diagnostic imaging*; D011671:Pulpitis / Q000000981:diagnostic imaging; D016300:Radiography, Bitewing; D011862:Radiography, Panoramic; D012391:Root Resorption / Q000000981:diagnostic imaging
keywords: cemento-osseous dysplasia; florid; periapical lesion; periapical surgery; radiopaque; root canal therapy