Volume 26, Issue 129, November 2022

Periapical cemento-osseous dysplasia: Case report

Ambikathanaya UK^1♦, Sunil Tejaswi KL², Suneeth Shetty¹, Nagabhushana Doggalli³

¹Lecturer Department of Conservative Dentistry & Endodontics JSSDCH, JSSAHER, Mysore, Karnataka, India
²Reader Department of Conservative Dentistry & Endodontics JSSDCH, JSSAHER, Mysore, Karnataka, India
³Reader Department of Oral Medicine & Radiology JSSDCH, JSSAHER, Mysore, Karnataka, India

^♦Corresponding author
Lecturer Department of Conservative Dentistry & Endodontics JSSDCH, JSSAHER, Mysore, Karnataka, India

ABSTRACT

Background: Periapical cemento-osseous dysplasia (PCOD) is an asymptomatic non malignant lesion which is rare where healthy bone is replaced by fibrous tissue, with meta-plastic bone and neo-formed cement. Its pathogenesis remains unknown it can represent a reactive and dysplastic process, so that dentist should have knowledge about this lesion to avoid inappropriate approaches which can compromise the patient’s health. Case report: Patient report to the clinic complaining of numbness in the right lower lip. Clinical examination reported no H/O swelling & pain in relation to 46. IOPAR shows 46 root canal treated tooth with satisfactory obturation & radiolucency in periapical region of distal root of 46 & 47. Due to patient’s discomfort Cone beam computed tomography [CBCT] was taken, which showed large radiolucent lesion with irregular & discontinuous borders with diagnosis as Periapical cemento-osseous dysplasia. Conclusion: Periapical cemento-osseous dysplasia can mimic other types of cemento-osseous dysplasia and benign lesions where the dentists need to be aware of asymptomatic intra osseous lesions and should have conventional therapeutic approach.

Keywords: Periapical Cemento-Osseous Dysplasia, CBCT, Cemento-Osseous dysplasia

Medical Science, 2022, 26, ms449e2479

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DOI: https://doi.org/10.54905/disssi/v26i129/ms449e2479

Published: 05 November 2022