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Focal cemento‐osseous dysplasia involving a mandibular lateral incisor
Author(s) -
Galgano C.,
Samson J.,
Küffer R.,
Lombardi T.
Publication year - 2003
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.2003.00736.x
Subject(s) - medicine , incisor , orthodontics , dentistry , mandibular incisor
Aim To report a case of focal cemento‐osseous dysplasia (FCOD) affecting a single tooth misdiagnosed as an inflammatory periapical lesion. Summary The patient, a black 47‐year‐old woman complained of pain affecting the right side of the mandible. Routine X‐ray examination discovered a periapical radiolucency on the mandibular left lateral incisor (tooth 32), which was otherwise normal and not carious. As the response of this tooth to a vitality test was doubtful, the lesion was diagnosed as a periapical granuloma or cyst secondary to pulpal necrosis. Endodontic treatment and curettage of the periapical lesion were performed, and histological examination of the curettage material revealed a localized osseous dysplasia. Key learning points • FCOD may rarely affect only one tooth, resembling a periapical granuloma or cyst. • Careful diagnosis is of paramount importance in cases of questionable periapical lesions affecting normal‐looking teeth, before beginning treatment. • FCOD generally requires no treatment. Biopsy is warranted in case of doubt.