title: Idiosyncratic Presentation of Cemento-Osseous Dysplasia - An in Depth Analysis Using Cone Beam Computed Tomography.
abstract: Bone dysplasias comprise of a condition where the normal bone is replaced with fibrous tissue. Periapical Cemento-Osseous Dysplasia (PCOD) is a benign fibro-osseous condition where bone tissue is supplanted with fibrous tissue and cementum-like material. This condition affects mostly mandibular anterior region and rarely occurs in the maxilla. PCOD is seen above 30 years of age and has slight female predilection. Generally the teeth related to such lesions appear to be vital and are usually asymptomatic. These lesions are mostly seen during routine radiographic examination whose presentation may vary from complete radiolucency to dense radiopacity. The advent of Cone Beam Computed Tomography (CBCT) has brought a massive change in the field of dentistry which has become an important tool for diagnosis. Hence we hereby present an unusual case of cemento-osseous dysplasia in an unfamiliar location with an atypical presentation. The shape of the pathology was completely idiosyncratic and different from an orthodox lesion of COD, as the lesion was observed to grow out of the palatal surface with a prominent palatal expansion. This case highlights the importance of CBCT in radiographic diagnosis and in evaluating the characteristics of such lesion, which present with high diagnostic dilemma.
authors.affiliation: Senior Lecturer, Department of Oral Medicine and Radiology, G.S.L Dental College and Hospital , Rajahmundry, Andhra Pradesh, India .
authors.forename: Sai Kiran
authors.initials: SK
authors.lastname: Chennoju
authors.affiliation: Professor and Head of the Department, Department of Oral Medicine and Radiology, St.Joseph Dental College , Eluru, Andhra Pradesh, India .
authors.forename: Ramaswamy
authors.initials: R
authors.lastname: Pachigolla
authors.affiliation: Post Graduate Student, Department of Oral Medicine and Radiology, St.Joseph Dental College , Eluru, Andhra Pradesh, India .
authors.forename: Vanya Mahitha
authors.initials: VM
authors.lastname: Govada
authors.affiliation: Senior Lecturer, Department of Oral Medicine and Radiology, St.Joseph Dental College , Eluru, Andhra Pradesh, India .
authors.forename: Satish
authors.initials: S
authors.lastname: Alapati
authors.affiliation: Reader, Department of Oral Medicine and Radiology, St.Joseph Dental College , Eluru, Andhra Pradesh, India .
authors.forename: Smitha
authors.initials: S
authors.lastname: Balla
keywords: Cementum; Fibro-osseous lesions; Maxilla; Palate; Periapical