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Florid cemento‐osseous dysplasia mimicking apical periodontitis: A case report
Author(s) -
Rekabi Ali Reza,
Ashouri Rezvan,
Torabi Molok,
Parirokh Masoud,
Abbott Paul V.
Publication year - 2013
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/j.1747-4477.2011.00325.x
Subject(s) - medicine , root canal , dentistry , radiodensity , radiography , radicular cyst , periodontitis , mandible (arthropod mouthpart) , lesion , pulpitis , dysplasia , fibrous dysplasia , periapical periodontitis , maxilla , molar , pathology , radiology , odontogenic , pulp (tooth) , botany , biology , genus
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.