Asymptomatic condition that is discovered on routine radiography
Etiology: It is possibly derived from the PDL
Epidemiology: Poorly understood predilection for black female patients, 5th and 6th decades
- Lower anterior region
- Associated teeth usually – vital pulps
- Common complication: Osteomyelitis after extractions – due to poor vascularity of bone
- Single (< 1.5 cm diameter)
- Florid (familial tendency)
- Early – Circumscribed radiolucencies involving apical area of anterior teeth.
- Late – Mixed radiolucency to ”cotton wool” appearance
Histology: Trabecular/sclerotic areas of lamellar bone OR cementum-like material interspersed in fibrous matrix
Management: Surgical curettage with care, the lesions does not separate clearly from bone
2 thoughts on “Periapical cemento-osseous dysplasia”
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